VestaCAC™
Advanced claim lifecycle management that reduces denials and accelerates the revenue cycle through intelligent automation.
Submit Clean, Denial-Resistant Claims
VestaCAC automates the entire claim lifecycle — from creation and validation to submission, tracking, and denial management. As the fourth step in VestaCare's revenue cycle ecosystem, VestaCAC builds on verified coverage and accurate pricing to ensure claims are submitted correctly the first time, dramatically reducing denials and accelerating payment.
With intelligent automation, real-time validation, and proactive denial prevention, VestaCAC transforms claim processing from a reactive, manual process into a streamlined, efficient workflow that maximizes revenue capture and minimizes administrative burden.
Key Capabilities
Intelligent Claim Creation
Automatically generate claims from encounter data, pulling verified eligibility and pricing information to ensure accuracy from the start
Pre-Submission Validation
Real-time validation checks claims against payer rules, coding requirements, and eligibility data before submission to prevent denials
Automated Submission
Submit claims electronically to payers via EDI, with automatic retry logic and submission tracking
Real-Time Status Tracking
Monitor claim status in real-time, receive instant notifications on payer responses, and track payment progress
Denial Prevention
Proactive identification and correction of potential denial reasons before submission, leveraging verified eligibility and authorization data
Automated Denial Management
Intelligent workflows for handling denials, including automatic appeals, corrections, and resubmissions when appropriate
Advanced Analytics
Comprehensive reporting and analytics on claim submission rates, denial patterns, payer performance, and revenue cycle metrics
How VestaCAC Works
Claim Generation
VestaCAC automatically creates claims from encounter data, integrating verified eligibility information from Verify and accurate pricing from Transparency to ensure complete, accurate claim data.
Validation & Quality Checks
Claims are validated against payer-specific rules, coding requirements, and eligibility data. Potential issues are flagged and automatically corrected before submission.
Electronic Submission
Validated claims are automatically submitted to payers via EDI, with confirmation receipts and tracking information captured for complete auditability.
Status Monitoring & Denial Management
Real-time tracking of claim status, automatic handling of denials with intelligent workflows for appeals and corrections, ensuring maximum revenue recovery.
Why VestaCAC Matters
Reduced Denials
- check Pre-submission validation prevents errors
- check Leverage verified eligibility data
- check Automatic correction of common issues
- check Intelligent denial prevention
Faster Revenue Cycle
- check Accelerated claim submission
- check Reduced time to payment
- check Automated follow-up and appeals
- check Improved cash flow
VestaCAC ensures claims are submitted correctly the first time, reducing denials and accelerating the revenue cycle through intelligent automation.
Ready to Transform Your Claims Processing?
Join healthcare organizations that have automated their claims submission and reduced denials with VestaCAC.