Claims Processing

A person in a suit holds graphic healthcare solutions in one hand, and a graphic of people in the other.
By Andrea Fox 09:55 am April 29, 2024
Also, Reperio Health partners with Uber to bring preventive care screening kits to homes and workplaces.
Stethoscope on tablet
By Susan Morse 10:19 am April 23, 2024
Wendell Primus, a Brookings Institution Visiting Fellow, has a plan to help low-income Medicare beneficiaries.
Senator Hawley, holding up a paper, speaks in Congress
By Andrea Fox 04:04 pm April 08, 2024
Senators Hawley and Blumenthal asked UnitedHealth Group how Change Healthcare's systems were breached, why the clearinghouse suffered "such an egregious and unexplained outage" and the extent of data compromised in the ransomware attack.
Woman works IT help desk in a support center
By Andrea Fox 10:12 am April 08, 2024
The agency says threat actors are targeting organizations' IT help desks with phone calls from a local area code claiming to be revenue cycle or administrator employees. After gaining access, they divert legitimate payments.
Stethoscope on tablet
By Susan Morse 11:45 am April 01, 2024
First Choice works with providers that are interested in working directly with employers.
Treasury bill
By Andrea Fox 01:44 pm March 27, 2024
Washington, Maryland and New Mexico have leveraged funding opportunities and regulatory tools to ease the burden on providers still struggling to operate with claims payments disrupted.
Abstract of a grid hovering over city streets
By Jeff Lagasse 09:51 am March 21, 2024
HHS surveyed payers for data relating to actions they were taking to help providers resolve issues.
Digital abstract of a padlock
By Andrea Fox 05:00 pm March 19, 2024
Also: Availity clarifies reports that it has cut ties with the clearinghouse and says it "fully expects" to reconnect to Change Healthcare.
Change Healthcare booth at HIMSS global conference
By Susan Morse 10:51 am March 19, 2024
The security breach has been a major disruption and opened an opportunity for scammers, Minnesota AG warns.
Eric Eckhart of Community Medical Centers of Fresno on AI
By Bill Siwicki 12:37 pm March 18, 2024
The provider saw a 22% decrease in one type of denial and an 18% decrease in another. Those improvements have resulted in more than 30 hours per week in eliminated work for follow-up staff.