Maximizing Returns on Your Claims Auto-Adjudication Efforts: A Step-by-Step Guide for TPAs The percentage of businesses that turn to third-party administrator (TPA) services grows every year. A TPA usually serves as an intermediary between the employer who covers the...
The Importance of Using MDM for the Health Insurance Industry Master data management (MDM) for the health insurance industry unifies the different tiers of governance while protecting both public and private data. MDM is essential for your insurance agency’s...
No Surprises Act Means Heightened Regulatory Risk for Network Adequacy The pressure is on. Health plans are under heightened regulatory risk around network adequacy with the passing of the No Surprises Act in December 2020. Here’s what you need to know. The act brings...
Interoperability, Blockchain, and Other Dark Arts of Healthcare Data A blockchain is essentially a peer-to-peer network with a unique security protocol that makes interference with the data practically impossible. It’s no wonder that banking is the poster child of...
Ecosystem Master Data Management for Healthcare QA with Gaine CEO Martin Dunn We recently sat down with Gaine CEO and co-founder, Martin Dunn, to learn more about Ecosystem Master Data Management (E-MDM) and Health Data Exchanges (HDX). We explore how these approaches...
