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Claims Processing

Clinician typing at a computer
Feb 04 | Jeff Lagasse
Initiatives include adding new concierge teams to support customers experiencing challenges with claims…
Screenshot of healthcare.gov home page
Feb 03 | Jeff Lagasse
Reasons include prior authorization or referral, excluded services and administrative issues, KFF finds.
The Change Healthcare booth at HIMSS24 in Orlando.
Jan 28 | Jeff Lagasse
The figure of 190 million people has been amended from past estimates, which put the total at about 100 million.
Medical billing
Jan 06 | Susan Morse
Mayo alleges that Sanford in South Dakota is responsible for $739,956.20 in medical expenses incurred by a patient in 2022.
Workers at a desk
Dec 30, 2024 | Nathan Eddy
AI automates the process of reading insurance card images and addresses potential claim denials in real time.
Person holds injection pen
Nov 26, 2024 | Susan Morse
The proposed rule would need to become final under the Trump Administration.
Employee at computer
Nov 14, 2024 | Susan Morse
Most CFOs are not looking to technology or AI as a solution, says new HFMA report.
Hurricane hitting coast
Oct 28, 2024 | Susan Morse
Hurricane Helene resulted in a $7M loss of revenue and response effort expenses.
Stethoscope on table
Oct 18, 2024 | Susan Morse
AI is only as good as the quality of the data, says Sundar Shenbagam, chief technology officer at Edifecs.
Fingers tapping at laptop keys
Oct 01, 2024 | Jeff Lagasse
UMC has been able to keep its ER open, but other services have been disrupted.

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