claims processing

Latest Headlines

Latest Headlines

Startup brings patients into claims processing

Healthcare fraud, waste and abuse costs the United States as much as $270 billion annually. A Philadelphia-based startup called TrueClaim thinks it has found a solution to combat this spending issue by bringing patients into the claims reconciliation process.

Somebody, please, fix the broken healthcare payment system

I've written about this issue before, but it bears repeating: The health insurance industry must do something about its payment system. Let me paint you a picture that's indicative of the...

Massive number of veterans' eBenefits applications incomplete, set to expire

Most veterans who started their disability claims through the Web portal eBenefits failed to complete them--and thousands of incomplete applications are due to expire this month.

Major insurers ready for ICD-10 claims processing

With the Oct. 1 transition to ICD-10 fast approaching, the question looms about how prepared private health insurance companies are for the change. To measure that preparedness, the American Academy of Family Physicians (AAFP) recently surveyed four large health plans, all of which said they will be ready by the implementation deadline, AAFP News Now reported.

AMA: Insurers processing claims faster, more accurately

Insurers have been processing claims faster and with more accuracy and better explanation. They're also denying fewer claims to boot, according to the American Medical Association's annual health insurer report card.

Value-based models are doomed to fail without claims automation

The health insurance industry is in a major state of flux right now as it is "starting to really gets its arms around what's next" while figuring out how it will compete and succeed in the new healthcare marketplace, Ray Desrochers, HealthEdge executive vice president, told FierceHealthPayer.

VA Secretary: Electronic system will help clear claims backlog by 2015

While efforts by Department of Veterans Affairs to dig out from a massive backlog of claims using its electronic Veterans Benefits Management System have been slow going thus far, VA Secretary Eric Shinseki told CNN's "State of the Union" this week that the tool will help to end the backlog by 2015.

Exchanges pose billing, collecting challenges for insurers

About 80 percent of exchange consumers will pay the balance remaining after the subsidy by check or cash equivalents, potentially from multiple sources, including the member, a relative or charity.

AHA backs proposed rules on electronic funds transfer

The American Hospital Association has widely backed recommendations from the Committee on Operating Rules for Information Exchange for streamlining claims- processing procedures for electronic transactions.

Humana refunds $600K for claims processing errors

Humana has agreed to refund more than $600,000 to Missouri providers as part of a settlement with the state insurance department that found the insurer improperly collected claims payments, the state