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As High-Dollar Claims Come In, Focus on Payment Integrity Is Key
Overall healthcare spending is slated to increase exponentially over the course of the next few years, and private payers are expected to foot a large portion of the bill. The Office of the Actuary at...Sponsored Article
How Pre-Payment Review Elevates Payer Payment Integrity
Payer payment integrity strategies are generally built around post-payment reviews to ensure appropriate reimbursement was sent to providers for medically necessary services. However, truly...Sponsored Article
Claims Payment Transformation Benefits Payer, Providers, and Members
Payers, providers, and members are all central to the healthcare experience, working together to create a seamless, coordinated encounter from registration and the clinical visit to claims payment and...Sponsored Article
Modernizing Claims Payment to Improve Member Experience
Paper checks and other forms of manual claim payments not only create friction between payers and providers, but also with the one stakeholder at the center of the whole experience: the member. Member...Sponsored Article
