Claims Processing

The integrated telehealth offering will be available to Aetna plan sponsors and CVS Caremark members in early 2023.

A Kaiser Family Foundation report published in March found just 11 states said they would use texting to alert Medicaid recipients about the end of the COVID-19 public health emergency.

Starting April 5, HHS will no longer adjudicate claims submitted for vaccine administration due to a lack of funds.

The Telehealth Benefit Expansion for Workers Act would amend HIPAA and the Affordable Care Act to allow employers to offer standalone telehealth service programs – not unlike dental and vision plans – in addition to existing health insurance plans.

 Providers are not responsible for verifying the security of a patient's third-party app, but are vulnerable when that data is sent.

With specialty drug costs projected to reach $505 billion by 2023 by the company's estimates, Optum has tapped into a potential market opportunity.

The partnership aims to make the retrieval of secure, clinical electronic health records more seamless in an effort to speed up the claims process.

The network uses FHIR and distributed ledger technology for payer-to-payer interoperability, prior authorization and more.

Health insurance companies increasingly face challenges in capturing and collecting revenue. Save time and money and prevent provider conflicts by addressing claim errors before payment.

The No Surprises Act and the Transparency in Coverage Rule have brought new requirements for insurers. Deadlines for compliance are fast approaching, but we have the support and guidance you need.