Healthcare ERP · 25–300 beds

The claim and the ledger,
one system.

Every other vendor makes you pick a half. Finance platforms stop at the business office; revenue-cycle vendors never touch the general ledger. VeloERP is one platform for both — so a remittance posts cash, contractual allowance and denial reserve into the ledger in a single transaction, and the close stops waiting on a spreadsheet.

Bill → collect → buy → stock → pay people → close the books → prove it.

Try the demo hospital See published pricing
Denials overturned68%on first appeal
meridian.veloerp.com / revenue-cycle / denials
CO-97 deniedBundled — service included in another procedureCLM-88214
At risk
$14,280.00
Recoverability
0.81 · high
Drafted appealawaiting your approval

Modifier 59 was appended at charge capture and documents a distinct procedural service performed at a separate site. Payer contract §4.2 permits separate reimbursement where the operative note supports distinct anatomic access — attached, page 3.

Approve & submitEditRegenerateEscalate
When it pays · posts to the ledger in one transaction
1100 · Cash14,280.00
4200 · Contractual allowance3,120.00
1210 · Patient A/R17,400.00
Balancedreconciled to the penny · period 08 open
🛡️ HIPAA · zero PHI embedded
90-day go-live, fixed price
The problem

Two half-markets that have never met.

Finance platforms are excellent at the ledger and stop at the business office. Revenue-cycle vendors are excellent at the claim and never touch the ledger. The seam between them is where the money goes missing — and nobody owns it.

$262B
of hospital claims are denied each year
Change Healthcare / industry denial analysis
65%
of denials are never resubmitted at all
MGMA · denial recovery benchmarks
~40%
of hospital expense goes to administration
Health Affairs · administrative cost studies
189%
average ERP implementation budget overrun
Panorama Consulting · ERP report

What closing the seam actually buys you

An 835 remittance posts cash, contractual allowance and denial reserve against patient A/R in one transaction with the claim state update, and reconciles to the penny. No nightly export. No spreadsheet tying two systems together at month end. No argument about which number is right, because there is only one number.

How a hospital actually runs

Four loops. One system underneath all of them.

Strip away the module names and a hospital's back office is four repeating loops. VeloERP's job is to run each with fewer handoffs — and the assistant's job is to do each loop's routine steps itself.

Getting paid
Loop A · the revenue cycle

Encounter → eligibility → charge capture & coding → scrub & submit → remittance → denial & appeal → patient balance

Where it bleeds today

The denial queue. Roughly one claim in ten is denied on first pass, and 65% of denials are never resubmitted — this is where hospitals bleed or recover margin.

M3 Revenue cycle · M2 Finance
Staying supplied
Loop B · procure-to-pay

Need arises (or par breaches) → approval routes by rule → PO at contract price → dock receipt → three-way match → payment run

Where it bleeds today

The match exception queue, and off-contract spend discovered after the money has already left.

M4 Supply · M5 Inventory · M2 Finance
Closing the books
Loop C · the month-end

Subledgers cut off → accruals & allocations post → reconciliations clear → statements publish

Where it bleeds today

Reconciliation between systems that don't share a model. Target close: five business days, not fifteen.

M2 Finance
Staying staffed
Loop D · hire-to-retire

Hire → credentials verified with expiry tracking → payroll picks them up correctly at cycle one → access follows the role → separation revokes it

Where it bleeds today

Credential lapse discovered after the fact, and first-cycle pay errors that become grievances.

M6 HR & payroll · M10 Admin
Implementation

90 days. Fixed price. Overrun is our cost, not yours.

The industry norm is a 189% average budget overrun and a go-live date that moves twice. We quote the implementation before you sign, and we hold it. That is only offerable because configuration replaces customization — there are no per-customer forks, which is also why your upgrade path never breaks.

Migration tooling ships with the product: shaped importers for a legacy chart of accounts, vendor master, item master and open balances, a dry run that produces a data-quality report you can act on, and an undo journal if a load needs backing out.

See what it costs
The go-live gate

Enforced, not suggested. Production data cannot load until every line below is green.

  • BAA countersigned
  • SSO verified end-to-end
  • MFA enforced for every user
  • Integration test messages reconciled
  • Opening balances tied to the legacy trial balance
  • Migration dry-run passed with a quality report you signed off
Security & HIPAA

The CIO's questions, answered before the call.

A downloadable security packet rather than a discovery meeting. Everything a hospital's compliance team asks for is published, including the parts that are still in progress.

Isolation architecture

Row-level security in Postgres, per-tenant KMS keys, and a host-only session cookie that cannot bleed to a sibling tenant. Cross-tenant reads are impossible even for buggy application code.

Subprocessor list

Published, not requested. Every vendor inside the PHI boundary is named, with its BAA status and what it processes.

BAA posture & SOC 2 path

A signed BAA before any production data loads — it is a gate, not a formality. SOC 2 Type II status stated plainly, including what is not done yet.

The AI boundary

We never embed patient-identified text. Item masters, payer rules, contract text and vendor records only — which removes the risk class rather than managing it.

Read the security packet
The scope boundary

What VeloERP is not.

Stated up front, because a vendor that claims everything is a vendor that has not thought about what it owns.

Never

Not an EHR

VeloERP receives encounters, demographics and charges over an integration feed and never writes clinical data. That boundary is why a Meditech or Epic hospital can adopt it without a clinical project.

Never

Not a clearinghouse

Claim state, scrub rules and the denial workspace are ours. X12 transport rides an established clearinghouse partner — building a network is a decade of work for a commodity.

Never

Not a tax-filing bureau

Payroll computes in-house because the rules engine is the differentiator. Tax filing and remittance ride a specialist — 50+ jurisdictions of liability with no differentiation available.

Never

Not the only system in the building

Most customers arrive with a PM system, an HCM or a payroll bureau already owning a domain, and it is not moving. VeloERP is built to be one of several systems — and the ledger regardless.

Walk the denial workspace yourself.

A seeded demo hospital with realistic synthetic data and zero real PHI. Switch roles to see the CFO’s view, then the AP clerk’s. No sales call, no password.