Platform
Control every change, across every facility.
Govern requests and approvals, prove every decision, and hand off approved changes through controlled channels.
Govern
Govern every change across every facility.
Requests
Role-based requests and approvals
- A field-level diff on every request
- Requesters add, update, reprice or inactivate charges. Requests move through ordered steps, such as coding review and then finance. Reviewers approve, return or deny with a recorded reason.
- Configurable, versioned workflows
- Administrators define steps and per-step field rules, so finance can sit at whichever step your policy requires. Each request stays on the workflow version it started on.

Control
Field-level controls, enforced on the server
- Locked by role, step and facility
- Each step controls which fields a reviewer can change. Locked fields are shown in the screen and enforced on the server.
- Approve from anywhere, with delegation
- Reviewers decide on desktop or phone with field diffs and lock explanations. Time-bound delegation shows who is acting for whom.

Multi-facility
Propagation with preserved overrides
- Corporate standards, facility instances
- Corporate charge standards with facility-level instances across corporate, regions and sites, each with effective-dated history.
- Local differences kept
- Corporate changes go to the facilities you select while local overrides are preserved. A charge can be inactivated at one site without touching the others.

Prove
Evidence you can verify, handoffs you control.
Every governed event is chained and verifiable. Audit records can't be edited or deleted. Auditors download a request's proof as JSON, CSV or a PDF package, and approved changes leave only through scoped, recorded exports and connections.


Operational dashboard
Requests in flight, queues and cycle times.
Administrators manage users, roles, facilities and workflows, and see propagation and export activity.

The complete Vellum platform
One governance model, every domain.
Sign-in, connected systems and administration, configured for your systems, facilities and policies.
- Single sign-on
- Your teams sign in through your organization's identity provider, with roles and facility scope mapped to Vellum permissions.
- EHR and billing connections
- Vellum's integration layer delivers your EHR and billing connections, scoped in your SOW, with delivery and acknowledgment tracking.
- Reconciliation
- Vellum compares connected systems with the governed record and routes mismatches to review.
- Chargemaster search and bulk import
- Bring your existing chargemaster in through validated bulk import, then search and browse it across facilities.
- Propagation and overrides
- Launch, preview and approve corporate-to-facility propagation, and manage facility overrides and their effective dates.
- Delegation and reminders
- Administrators set up and revoke delegations. Reviewers are notified when a decision is waiting, and overdue requests escalate.
- Validation rules
- Rules catch likely errors before a change reaches approval. People make every decision.
- Gross-charge export for your CMS file
- Export approved gross charges by effective date as the gross-charge component of your CMS machine-readable file.
- Item master and formulary
- Extend the same request, approval and evidence model to item master and formulary data.
Capabilities described here, including price tracking, facility price comparison and variance flags, are delivered and configured for your health system, with scope set out in your SOW.
Walk through the platform on your own workflow.
Request, approval, price tracking and evidence for your facilities, with your finance, revenue integrity, chargemaster, compliance and IT teams.