In addition to the competitive environment in which insurance companies operate, these businesses are challenged by more stringent compliance with government regulations and increasing expectations on ...

Health systems are complex organizations that challenge their leaders to find the path to standardized processes. Revenue cycle management can be one of the most convoluted processes in healthcare.

Healthcare claims automation with governed AI delivers faster processing, full auditability, and strong ROI for global ...

Claims management fees can span an ocean of contentious, sometimes confusing issues. In this first of a two-part article, Col Fullagar examines some common case scenarios and reveals how financial ...

For good reason, many companies focus their legal and compliance work on matters that require immediate attention, like active litigation and pressing regulatory issues. But matters that come to the ...

With thousands of claims, customer queries and large amounts of diverse data to manage on a day to day basis, AI has now been frequently cited as a disruptive force in the insurance sector. From smart ...

Construction consulting experts are often engaged by insurance companies, attorneys, or others to assess reported damage to property and determine the scope of repair required, the repair associated ...

The financial landscape of healthcare is becoming increasingly complex. For payors and Third-Party Administrators (TPAs), the twin challenges of cost containment and ensuring payment accuracy are more ...

AI technologies have well and truly reformed information systems by making them far more adaptive to humans while significantly improving the interaction between humans and computer systems. With this ...

Insurance is not just about the numbers, says Col Fullagar. He explains why it is so important to get the claims dispute process right. Insurance companies tend to focus much of their self-promotion ...

With today’s rising costs of insurance claims, self-insured employers and captive entities are increasingly scrutinizing how best to control costs and improve performance. Third-party administrative ...

For medical practices, quick and accurate claims processing saves patients, providers and insurers time, money and energy. However, when claims are riddled with errors, no one gets paid and everyone ...