The modules that make up Vetra.
Vetra is a single system of record stitched together by four role-specific portals, three workflow engines and a fraud-aware analytics layer.
The Vetra product — claims, authorizations, settlements and reports unified in one workspace
Screenshot — coming soon
One platform, four audiences
Every claim, authorization, settlement and audit event lives in the same database. The four portals are different lenses over that data — each scoped to the role using it.
HMO portal
Adjudicators, claims managers, finance, network and compliance leads.
Provider portal
Hospitals, pharmacies, labs and clinics submitting claims and PAs.
Corporate portal
HR & benefits teams monitoring their enrollee population.
Enrollee portal
Members checking coverage, claims, card and ghost-patient alerts.
The three workflow engines
Every action on Vetra ends up in one of three lifecycle engines. Knowing which engine drives the screen you're looking at is the fastest way to understand the platform.
Claims engine
Submission, adjudication, queries, attachments, decisions and audit.
Authorizations engine
Pre-auth with urgency tiers, SLA timers, auto-approval rules and appeals.
Settlement engine
Provider remittances, payment proofs, capitation runs and disputes.
Cross-cutting capabilities
AI & fraud intelligence
Per-claim risk score, anomaly trends and the Ask Vetra copilot.
Security & RBAC
55+ permissions, approval limits, audit log and tenant isolation.
Notifications are platform-wide
A two-minute platform tour
Vetra platform tour
Two minutes across the four portals, three engines and the AI layer.
Walkthrough — coming soon
The vocabulary
| Tenant | A single HMO workspace. All data, settings and RBAC roles are scoped to a tenant. |
|---|---|
| Member ID | A globally unique enrollee identifier, e.g. HYG-DNG-00234-PR (HMO, client, sequence, dependant type). |
| Pile | A bundle of claims belonging to one provider for one billing month — the unit of batch vetting. |
| Settlement run | A scheduled aggregation of approved claims into one or more remittances per provider. |
| Auth code | A short string issued by the HMO that proves a treatment was pre-approved. |
| Ghost-patient alert | A notification sent to the enrollee when an emergency PA is filed on their card. |