Webinar: Medical Claims Automation and Fraud Detection with SHIELD
While underwriting automation is widely implemented, medical claims are yet to be fully automated, despite their enormous volumes and overall moderate cost. Digital transformation empowers customers to expect instantaneous responses from insurance companies; thus, medical claims automation becomes imperative for their competitiveness.
Fraud, waste, and abuse in the healthcare sector are a major global issue tightly linked with turnaround times and economic burdens. A large proportion of the industry's worldwide costs cannot be justified, as they result from invoicing errors, deliberate or unintentional overpayments, fraud, or abuse.
Determining whether a treatment is medically justified while considering internally accepted medical guidelines remains a significant challenge for health insurers. Such an assessment is mainly still a manual and tedious process.
In this webinar, Harry Kontonikas, Head of Business Development, will outline how MR HealthTech's SHIELD (Software for Health Insurance Eligibility Detection) can reduce turnaround time for medical claims, identify medical inconsistencies, and improve cost containment.
Register here https://us02web.zoom.us/webinar/register/9516026665996/WN_sB_E88EeR9qJn23AmbHO6Q