Claims Processing

Dec 04 | Jeff Lagasse
Blockchain technology is becoming more widespread, and early adopters will be in the best position to…
Nov 16 | Susan Morse
With 75 percent of health orgs implementing or planning to execute an AI strategy, OptumIQ said top benefits are improving patient…
Nov 13 | Beth Jones Sanborn
Case study: Revised paper statements and new digital patient portal drove a 38% improvement in…
Nov 06 | Susan Morse
Using embedded codes in blockchain technology, claims process themselves.
NCQA ratings website.
Sep 21 | Susan Morse
NCQA uses HEDIS scores to rate plans, a performance measure used by more than 90 percent of health insurers.
Man looking at process automation software.
Aug 10 | Susan Morse
Automating core administrative functions equates to unlocking $15 million in operating income for every 100 full-time…
SIlver lining: Million dollar medical claims leap 87%
Jul 17 | Jeff Lagasse
What looks like a nightmare for hospital finance executives is also an opportunity to reduce excessive losses typically associated with…
Challenges to overcome for transitioning from volume to value
Jul 16 | Jeff Lagasse
Executives must address redundant services, lengthy claims processing and reimbursement…
Bright Health’s payvider model sees triple growth
Jul 12 | Susan Morse
The insurer is expanding its narrow network into new markets by 2019, CEO Bob Sheehy says.
More interoperability, more error?
Apr 19 | Jeff Lagasse
The average expense of repeated medical care because of duplicate records costs a reported average $1,950…