Geeks News Desk: 5 problems experienced when the claims adjudication process is circumvented

1. Consumers paying more than the contracted, discount rates for their products and services
2. Claims not being counted toward consumers’ deductibles when applicable
3. Deductibles, if applicable, not being tracked at the point of service
4. Claims not being included in medical profiles which limits the ability to manage patient care
5. Data required for accurate actuarial and clinical analysis, risk prediction, projected outcomes and value-based purchasing models are incomplete

Source: Broadway World
Source URL: http://www.broadwayworld.com/bwwgeeks/article/Healthcare-Con...

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