The No Surprises Act (NSA) marks a significant regulatory milestone aimed at protecting consumers from surprise medical bills and enhancing transparency in healthcare.
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Traditional claims systems are often fragmented and inefficient, leading to significant errors and unnecessary operational costs.
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In today's healthcare landscape, the complexity and inefficiencies of payment systems are a common source of frustration for patients, providers, and payers alike.
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What if we could develop a smart and efficient workflow that ensures payment accuracy from the start?
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As the next-generation core administrative system that runs Friday Health Plans’ operation, HealthRules Payer is built for growth, reliability, and customer excellence.
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HealthEdge has identified five key attributes that drive digital payers, enabling them to rise above the competition and lead the way to better outcomes across the entire healthcare delivery...
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HealthEdge has identified five key attributes that drive digital payers, enabling them to rise above the competition and lead the way to better outcomes across the entire healthcare delivery...
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HealthEdge has identified five key attributes that drive digital payers, enabling them to rise above the competition and lead the way to better outcomes across the entire healthcare delivery...
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Step 2: Evaluating Payment Integrity Vendor RFPs “Improper claims payment and fraud contribute more than $200 billion to the annual cost of U.S. healthcare…”.1 Here’s what health plans can do to...
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Providers Grapple with Regulatory Realities Providers appear to be grappling with the regulatory realities of value-based care, especially when it comes to data transparency. Although they claim...
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The healthcare ecosystem is rolling slowly toward greater pricing transparency, but there are many challenges. Among them is predicting consumer behavior in the fog of new health information that...
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In my prior role as a health plan CIO, one of my responsibilities was to evaluate, select, and justify software solutions – and often to prepare materials to seek funding and/or approval from a...
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