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Can AI Manage High-cost Claims? Not Without Humans
- High-cost, in-network claims are an ongoing challenge for providers and payers. These claims are often complex, demanding significant documentation and scrutiny. As the volume of high-cost claims grow, payers need an effective approach for managing them. A strategic partner that leverages the right technology and the right people can deliver the...
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Out-of-network claims remain a challenge for a healthcare system looking to improve utilization and spending of services. For health plans, negotiating fair prices for out-of-network services is...Sponsored Article
How a Consolidated Payments Platform Positively Impacts Payers
Healthcare payers and third-party administrators are facing increasing challenges with complex and outdated technology infrastructures while keeping pace in a competitive marketplace. Technology...Sponsored Article
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Over the last two decades, the digitization of healthcare payments has created growing pains for numerous payers in the form of overly complex infrastructure. Today, health plans and third-party...Sponsored Article
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Effective payment integrity on the part of payers is not only essential to reducing administrative costs but also improving relationships with providers that ultimately benefit members. Administrative...Sponsored Article
