TPA demo

Synthetic TPA demo

See a procedure price check from request to claim.

Follow scheduled procedures as Vivaldi calls qualified facilities, compares case-specific prices, returns the best-priced qualified option, and verifies the completed claim.

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Cases in view4

In provider outreach1

Rate paths pending1

Potential price difference$2,455Based on returned prices · not yet savings

Validated savings$755After completed-claim reconciliation

Scheduled procedure requests

Every case has a clear next step

Synthetic example

Case	Plan	Stage	Expected plan amount	Best price returned	Validated savings	Claim check
MRI of the kneeAN-H3V9-TL6Q	Northstar Manufacturing Plan	Reconciled	$1,550	$795	$755	Approved
Screening colonoscopyAN-M4F2-JK8R	Northstar Manufacturing Plan	Claim routing	$4,800	$3,100	Not yet validated	Pending
MRI of the lumbar spineAN-Q2D7-VP4N	Cedar Retail Benefits Plan	Provider outreach	$2,400	—	Not yet validated	Not set
Outpatient hernia repairAN-C8L1-RS5K	Cedar Retail Benefits Plan	Referral received	Awaiting approval	—	Not yet validated	Not set

Potential price differences are directional. Vivaldi counts savings only after the comparable procedure is completed and the final eligible paid amount is reconciled.