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Veris Foundation: Connecting Payers and Providers with Blockchain

by Chris Plance

The Veris blockchain encompasses all portions of the claims process (HCFA and UB 40) and dramatically reduces expense.
Jersey City, NJ United States Blockchain Patient and Provider Tools The Interoperability challenge NOLAHI Challenge - See All

All Team Company Patients Physicians Hospital Partners Mission Innovation Details Supporters Comments Updates

About our project

The problem we solve: The healthcare claims process in the United States costs over $60 Billion a year. This administrative overhead is due to lack of trust between payers and providers, and until now, no technology that could overcome the trust barrier.

About our solution: Veris uses a blockchain to automate portions of the claims process via smart contracts. The blockchain also allows for one immutable record and thus the claims themselves become a single point of authority via the distributed ledger technology and consensus mechanism provided by the blockchain

Progress to date:

Work began in February 2017. The blockchain was completed and brought online in December 2017.  The chain itself is fully functional.  We are currently working on the smart contract design that facilitates the claim process.  We expect to have a provider toolkit available in June 2018.  Response has been strong and we are in discussion with manged care providers on how to deploy the solution

About Our Team

Creator: Chris Plance

Bio: Chris is an engineer, entrepreneur, and management consultant with over 20 years experience providing strategic guidance in the implementation of technology with a focus on healthcare. Chris was the co-founder of DATUS in 2002, a successful management consultancy spun off to employees in 2012. Chris has also served as the senior strategic advisor to one of the largest non-profit providers of senior living in the United States.

Title: Founder

About Team Members

Eric Lawlor
Advisor, MBA
Biography: Eric has over 24 years of experience in numerous business lines in the healthcare industry. This experience includes over 20 years in some facet of the revenue cycle for a wide variety of provider types. These provider types range from hospitals and physician practices to post acute providers. Eric has personally performed all the major components of the provider side of revenue cycle in his career including eligibility verification, charge entry, claim submission, claim followup, claim appeals and post payment reviews. Eric has also been instrumental in the implementation of several new billing systems.
Title: Advisor
Advanced Degree(s): MBA
LinkedIn: https://www.linkedin.com/in/eric-lawlor-mba-cma-6505a214/

Matthew LeGrice
Lead Designer,
Biography: Matthew LeGrice is an independent designer and illustrator based in Jersey City, New Jersey. He has nearly 10 years of design experience working with brands small and big, helping to elevate the way they communicate visually with their audiences. Some recent clients include SeatGeek, New York Rangers, and Biolite Energy.
Title: Lead Designer

About Our Company

Veris Foundation

Location: 479 Monmouth St #1R
Jersey City, NJ 07302

Founded: 2017

Website: http://www.verisfoundation.com

Blog: https://medium.com/verisfoundation

Twitter: @verisfoundation

Product Stage: Prototype/MVP

YTD Sales: Working on it

Employees: 3-5

How We Help Patients

The Veris blockchain will reduce the expense of billing for healthcare services.  Which is an opportunity for payers to pass those savings on to patients.  Cheaper healthcare = more access to healthcare (provided payers pass this on).

How We Help Physicians

Billing for services is approximately 5-10% of the total expense for a physician practice.  Use of the Veris blockchain reduces this expense. As the network grows so will the expense reduction

How We Help Hospitals

Hospitals are often caught between payers and providers.  Participating in this system will not only reduce their billing expense, it will provide a level of transparency which supports hospitals as a partner in the process of providing healthcare.

How We Help Partners

Long term with a large volume of claims being processed on one platorm, this gives partners the ability to model and understand how the provisioning of care is changing over time.

Challenge Mission

Market Size

The total market size is constituted by the volume of claims processed in the United States yearly. In 2013 CAHQ estimated (https://www.caqh.org/sites/default/files/explorations/index/report/2013Index.pdf) this to be 8 billion claims a year.  The expense related to procesing these claims is esitmated to be $60 billion USD a year (see prior study).

Projected 3 Year Growth

We intend to process one claim fully on the blockchain in 2018.  In 2019 we intend to process 100,000 claims on our blockchain.  In 2020 we intend to process 100,000,000 claims on the blockchain.  Margins are undetermined.  Our business model is to distribute the value of our growing network back into the VRS held by users of the network.  The Veris Foundtion will hold a reserve of 26% of all the VRS.  Thus we will theoretically absorb 26% of the value created by the network.

How We Will Make Money

Short term revenue streams are trading fees generated by the trading of our software VRS as a digital asset.  Medium term revenue is the consulting around deploying more sophsiticated insurance contracts to the chain.  Long term the data on chain can be monetized with that revenue shared with patients.

About our Competition

There are currently no true competitors.  There are approximately 40 firms experimenting with blockchain in healthcare.  Of this group only Universal Health Coin and Solve.Care touch on payment systems, though their scope is much broader than ours.  Veris will solve one very specific problem in healthcare, and use that to prove the value of blockchain.  This will lead to greater adoption.

All competitors are attempting to create new payment systems.  We are the only entity attempting to utilize the exiting system in a significantly more efficient manner.

Progress with Customers to date

We are currently in discussion with a third party administrator of benefits and a stop loss insurer on deployment of the technology.

New Orleans and Our Company

The blockchain space is desperate for talented developers.  The colleges and universities in the New Orleans area can provide this and would be a place we would consider working with these institutions to develop this talent.

Innovation Details

Intellectual Property Summary

Blockchain technology inherently requires that source code be shared among all individuals participating in the chain.  As thus, the code itself is *not* our intellectual property.  Our intellectual property is based on utilizing this open source software to distribute the value of the network effect back to the users of the platform (see Metcalfs law for illustrations).

Clinical Information

Not applicable.

Regulatory Status

Not applicable.

How we will use the funds raised

Funds from this program will be used to fund the endowment for the organization post Initial Coin Offering (should the offering be successul).  The ICO begins March 19th 2018.  We feel that the biggest hurdle to implementation of our platorm is not the technology, but entrenched existing participants who can wait us out.  Thus forming an endowment via ICO gives users of our platform the confidence necessary to say yes, and us the runway necessary to take off.

Thank You

I have worked in acute and post acute healthcare for over 20 years.  Expenses keep rising.  Layers and layers of beuracracy seperate a physician from payment.  These layers evolved over years of mistrust and are unecessary.  This is a problem 100% suited to be solved with blockchain technology.  We have the team and vision to execute this.

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Comments

  • image
    suman rajput posted on 28th August, 2019

    It is the best information I ever read because it is very useful and informative. Keep doing the great work up.

  • image
    coupons webdeal posted on 18th September, 2019

    Great teamwork. few days before the search for a platform. I saw a website HostGator Coupons you can get hosting here at the lowest price. so I think I create a community and start it for poor people. there I will create a community of these people who need help.

  • image
    Paul Bethea posted on 14th May, 2020

    this is not going down the way I anticipated

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