Unlock Data-Driven Benefits Strategies with BenInsights
Benefits leaders face mounting challenges. Download our eBook to learn how leading employers are leveraging data analytics to optimize their benefits strategy.
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Coordination of Benefits and Data Mining Services Are the Perfect Prescription for Saving on Pharmacy Claims
By not performing coordination of benefits (COB) and data mining on their pharmacy claims, healthcare payors may be missing a significant opportunity to recoup overpayments.
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Rural Healthcare Hangs in the Balance, Price Transparency Data Can Help
Hospitals and health systems must move beyond merely complying with price transparency rulings. By shifting their attention to the insights within this data, organizations can develop strategies that will enable them to care for their communities in financially sustainable ways.
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The Role of Artificial Intelligence in Payment Integrity
The future of healthcare payment integrity is here, and it’s powered by AI and machine learning. From detecting fraud to streamlining claims processing, these technologies are transforming how payors reduce costs and improve accuracy.
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DataFramed Podcast: Using Data to Optimize Costs in Healthcare
Listen to Claritev's CEO, Travis Dalton, and Vice President of Product Development, Data & Decision Science, Jocelyn Jiang, discuss using healthcare data to solve seemingly intractable problems.
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We’re Bending the Healthcare Cost Curve Toward Savings and Value in Care
Discover how Claritev is bending the healthcare cost curve by leveraging data analytics, technology, and industry experts to improve care value and combat rising healthcare expenses.
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You’ll Never Believe What Our Payment Integrity Team Finds
As a part of Claritev’s Payment Integrity service, we review claims to ensure there are no billing errors and that the charges make sense. When we find mistakes or suspicious charges, we investigate. This blog details our eye-popping findings.
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Determining Whether a Dispute Is Eligible for IDR Is Complicating the Process
More than a year after the No Surprises Act (NSA) took effect, parts of the law are still creating challenges, including the independent dispute resolution (IDR) process.
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Midyear Check-In with Healthcare Payors on the No Surprises Act
Healthcare payors who believed they were prepared to comply with the No Surprises Act (NSA) without assistance have realized the new law is more complex than they initially thought. That’s the message Claritev has repeatedly received from clients who elected to try to manage the NSA or parts of it on their own.
