spotting wasteful or abusive claims hidden in plain sight

While traditional claim editing solutions catch the most common and blatant errors, more complex claims—whether accidental or intentional—can easily bypass an auto-adjudication system and eventually amount to millions of dollars in lost and inappropriate payments. While the notion of preventing all of these types of claims may seem like an insurmountable task, our experts have insight to share that will help plans tackle this ongoing challenge.

In our on-demand webinar, presenters explore how to address all types of erroneous claims, specifically focusing on:

  • The issues inherent in clinically complex claims and why automation fails to provide the level of attention that these issues need
  • The latest examples of improper payment of clinically complex claims
  • Best practices for the clinical validation of claims without burdening your organization

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watch the webinar