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Vellum

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.
A change request awaiting coding review, with its effective date, facility and a field-by-field before and after

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.
A locked field: the current workflow step doesn't permit changing it

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.
A corporate change previewed across three facilities, with a local display name preserved

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.

Hash-chain verification for Kestrel Bay Health, showing the chain as valid
Request evidence with JSON, CSV and PDF proof exports and their payload hashes

Operational dashboard

Requests in flight, queues and cycle times.

Administrators manage users, roles, facilities and workflows, and see propagation and export activity.

Vellum operational dashboard for Kestrel Bay Health: open requests, requests by state, approval queues and audit-chain status

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.