Specialist Service
Radiology Claims Verification
Independent radiology claims verification for medical schemes, helping identify billing discrepancies, inappropriate utilisation and unnecessary expenditure.
Verirad assists medical schemes with independent verification of radiology claims. The service focuses on billing accuracy, clinical appropriateness, utilisation patterns and consistency with accepted scheme rules and healthcare funding principles.
Radiology claims can involve complex coding, multiple modalities and high-cost investigations. Independent review gives medical schemes an objective view of whether claims are appropriate, correctly coded and aligned with relevant clinical context.
Our review process supports cost containment while helping schemes make fair, evidence-based claims decisions.
Frequently asked questions
What is radiology claims verification?
Radiology claims verification is the independent review of radiology claims to assess clinical appropriateness, billing accuracy and compliance with scheme rules.
Who uses this service?
The service is intended for medical schemes and healthcare funders that require independent review of radiology claims.
Does Verirad replace a treating doctor?
No. Verirad provides independent claims verification and review support for funders; it does not replace the clinical role of treating practitioners.
Contact Verirad to discuss this service.