CHICAGO, Aug. 19, 2024 /PRNewswire/ -- Effective Health Systems, a leader in innovative claims management solutions, today announced the launch of BaseLine.RPT, a cutting-edge AI-powered solution ...

As healthcare costs rise and member expectations grow, insurers continue to struggle with outdated and fragmented claims adjudication systems that lead to inefficiencies, errors, and delays.

The federal government announced a new claims process for public servants who suffered severe financial and personal losses as a result of the Phoenix pay system on Tuesday. It means members of the ...

A new report confirms what the jobless have been saying for years: 10 years of "modernizing" the processing of employment-insurance claims created even longer waiting times and bigger backlogs. A ...

Health Claims for Auto Insurance (HCAI), an electronic system for processing auto insurance claims, is once again entering a pilot phase, starting on Sept. 1, 2009. HCAI was shut down in April 2008 at ...

Starting this week, many of the more than 64,000 asylum seekers in Canada waiting for their cases to be heard could be eligible for a new fast-tracked approach to processing refugee claims, Global ...

The system of claim 145, wherein the predictive analytics platform is configured to, based on the deductible update pattern indicating a stored deductible value has likely been updated: access, via a ...

Healthcare organizations in the U.S. are using robotic process automation to streamline processes and reduce expenses. The technology delivers faster task execution, higher accuracy, and improved ...

MADISON, WI, July 10, 2023 (GLOBE NEWSWIRE) -- Flexion, a technology solutions provider, has won the Modern Claim Adjudication Development Services (MCADS) contract from the Centers for Medicare & ...

The Centers for Medicare and Medicaid Services plans to modernize the claims system that contractors use to process and perform payment for hospitals that provide inpatient and outpatient services to ...