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Fact Based List:
Geeks News Desk: 5 problems experienced when the claims adjudication process is circumvented
Submitted By Anonymous, Created 08/10/2016 - 10:00
- Consumers paying more than the contracted, discount rates for their products and services
- Claims not being counted toward consumers’ deductibles when applicable
- Deductibles, if applicable, not being tracked at the point of service
- Claims not being included in medical profiles which limits the ability to manage patient care
- 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...