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Success Stories - Health Claims Processing in the US    There is no single method for processing health claims. In fact...      more...

2016 and Beyond

2016 and Beyond (pdf)

The transition to ICD-10 and the resulting increases in historical claim and clinical information promise to add fuel to the healthcare community’s drive to empower consumerism. The ICD-10 transition provides opportunities that add value to healthcare organizations within the following value streams: business analytics, operational efficiencies, payer-provider contracting, and consumer-centric quality improvements. Health plans can start to capitalize on each of these value streams to drive new business opportunities and payment models and to ultimately support and increase patient/member satisfaction.