Charge governance for health systems
Every charge. Every change. Provably governed.
Vellum governs changes to your chargemaster across every facility, including the price of every charge, its effective dates and scheduled increases. Each change starts as a request, goes to the right reviewers for their role and facility, and ends with evidence you can verify.
Price tracking
Know the price of every charge, on every date.
Effective-dated prices by facility and unit of measure, scheduled increases that change nothing until final approval, and every facility's price side by side with variance flags.
Effective dates, no overlaps
Begin and end dates for every price, with overlaps blocked and gaps caught before approval.
Scheduled increases
Plan single changes or annual campaigns with a locked preview and projected gross-charge impact.
Facility comparison
Every facility's price side by side, with variance flags on outliers above your threshold.
Publish and export
Publish to your connected billing system with confirmation, and export the gross-charge component of your CMS file.
The problem
Charge changes carry real risk, and they're hard to prove.
A health system's chargemaster changes all the time: new services, updated descriptions, inactivated items. Each change touches revenue, compliance and downstream billing, often at many facilities at once.
Many facilities, one standard
Corporate changes have to reach the right sites without overwriting legitimate local differences.
Unclear ownership
Outside a governed path, it's hard to show who requested, reviewed and approved each change, and when.
Field-level exposure
Not every reviewer should be able to edit every field at every step, and the rule needs to be enforced, not just displayed.
Audits that rest on trust
A change history that can be quietly edited can't prove anything to an auditor.
Uncontrolled handoffs
Approved changes still have to reach the EHR and billing systems in a scoped, controlled way.
Little visibility
Leaders need to see what's in flight, what's stuck and what's waiting on whom.
What Vellum is
One governed path for every charge change.
A tenant-isolated, audit-first governance platform for controlled charge and master-data changes. Every change follows the same three-part flow.
- 01
Request
Add, update or inactivate a charge. Each request carries a field-by-field before and after.
- 02
Approval
Ordered review steps by role. Reviewers see only what their role and facility allow, on desktop or mobile.
- 03
Evidence
Every event is hash-chained. Proof exports as JSON, CSV or PDF for auditors.
Govern
The change is the governed record.
- Field-by-field review
- Each change is a request with a field-level diff, a workflow step and an owner, not a loose edit to a charge.
- Scoped by role and facility
- Reviewers see only the requests their role and facility allow.
Enforce
Enforced, not just displayed.
- Field locks on the server
- Field locks, facility scope and tenant isolation are enforced on the server and in the database.
- Made for multi-facility systems
- Corporate-to-facility propagation, local override preservation and single-site inactivation are part of the core model.
Prove
Verify, don't trust.
- Tamper-evident history
- A hash chain and exportable proof make the history something you can check.
- Controlled handoff
- Files and integrations leave only through governed, scoped channels, including Vellum's integration layer.
See the platform
Everything in flight, in one view.
Requests by state, approval queues, cycle times and audit-chain status, for every facility you govern.
Request a briefing
See Vellum on your chargemaster workflow.
Tell us about your health system. We'll set up a working session on request, approval and evidence for your facilities.