Within a claim environment, several key goals of analysis will emerge from a client’s claim fact find: The client’s contractual position; The likely claim requirements; and How should the claim be ...

Claims management fees can span an ocean of contentious, sometimes confusing issues. In this first of a two-part article, Col Fullagar examines some common case scenarios and reveals how financial ...

In most insurance companies, the claims department is where promises are tested. It is also where costs, controls and customer expectations collide. A single claim can pass through intake teams, ...

BOSTON--(BUSINESS WIRE)--Gradient AI, a leading enterprise software provider of artificial intelligence (AI) solutions in the insurance industry today announced that Cannon Cochran Management Services ...

In 2023, 80% of carriers and 59% of MGAs felt that the claims management process with MGAs required improvement; these numbers increased to 91% and 71%, respectively, in this year’s report, which Only ...

It’s about making the claims-management process more transparent and objective, which is a win for all of us. Plus, with AI handling the initial grunt work, insurance adjusters can focus on the ...

The financial landscape of healthcare is becoming increasingly complex. For payors and Third-Party Administrators (TPAs), the twin challenges of cost containment and ensuring payment accuracy are more ...

Across every industry, rapid digital transformation has been underway for decades, ushering in greater efficiencies. Within the healthcare industry, the story is a bit different. On the clinical side, ...