Aired: February 07, 2019
Claims processing has been around for years. While the process has evolved, until now the endgame has remained the same—pay the right amount to the right provider for the right services delivered to the right members in a timely manner. Enter the new kid on the block: Encounter data processing, which is changing the endgame for claims processing. It is no longer enough to do all the “right” things; now we must also collect the right data in the right format according to the right government agency guidelines.