Specialist Service
Healthcare Claims Auditing & Validation
Independent healthcare claims auditing and validation for medical schemes, focused on radiology and pathology claims.
Verirad provides healthcare claims auditing and validation services with a specialist focus on radiology and pathology claims. The service helps medical schemes improve claims accuracy and identify areas of unnecessary expenditure.
Auditing may include coding review, utilisation assessment, claims pattern analysis and validation against scheme rules or supporting clinical information.
The result is a more reliable claims assessment process and stronger support for evidence-based decision-making.
Frequently asked questions
What is healthcare claims auditing?
Healthcare claims auditing is the review of claims to assess accuracy, appropriateness and compliance with relevant rules.
What makes Verirad specialist?
Verirad focuses on independent radiology and pathology claims verification for medical schemes.
Can auditing identify fraud, waste and abuse?
It can help detect unusual patterns, billing discrepancies and indicators that may require further investigation.
Contact Verirad to discuss this service.