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Claims Processing

By Susan Morse | 11:21 am | April 02, 2020
Prior authorization requirements have hindered freeing up hospital beds due to delays in getting inpatients to post-acute care.
By Susan Morse | 04:01 pm | March 24, 2020
Hospitals can transfer patients who are COVID-negative to post-acute care facilities without advanced prior authorization approval, AHIP's Board of Directors says.
By Fred Bazzoli | 01:25 pm | March 17, 2020
Health plans will be responsible for data sharing and patient access in a way they're not used to. "A lot will have to go into meeting that deadline," one expert says.
By Susan Morse | 02:13 pm | March 10, 2020
Insurer will cover rapid and ultra-rapid whole genome sequencing done by Rady Children's Institute for Genomic Medicine.
By Susan Morse | 03:38 pm | February 13, 2020
The number of confirmed COVID-19 cases worldwide is more than 60,000, with the 15th known person infected in the United States.
By Susan Morse | 05:35 pm | December 12, 2019
Cigna detected and reported the alleged fraud, in which the former players allegedly submitted over $3.9 million in false claims.
By Susan Morse | 03:33 pm | October 29, 2019
The insurance industry will remain but the traditional PPO is beginning to come to an end as costs are outstripping inflation and wages, CEO says.
By Susan Morse | 03:17 pm | August 13, 2019
The expansion marks a nearly 300% increase in product offerings compared to 2019.
By Susan Morse | 02:01 pm | June 18, 2019
The expedited process and drug access would allow clinicians to complete the process online under new e-prescribing standards.
By Susan Morse | 05:49 pm | May 31, 2019
Change Healthcare and FlexTech lead the list of 11 organizations, receiving praise for providing good value for the price.