Prepayment Fraud, Abuse and Error Detection
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چکیده
Insurers are effciently and accurately paying millions of claims that they should never pay at all. In fact, of all the key drivers of health care costs, losses from unnecessary payment is one of the few that insurers can immediately affect. In this white paper we define state-of-the-art prepayment analytic systems and explain how they differ from both claims edit and postpayment detection systems. We also explain how new prepayment solutions can complement and build on the capabilities of existing applications. » Summary
منابع مشابه
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