KompleteCare’s Post

Constant #updation/cancellation of networked hospitals in the health insurance sector Health insurance policy holders often face the challenges of networked hospitals being cancelled, leading to confusion and financial strain. This usually happens due to contact disputes or fraudulent activities by the hospital To mitigate this the #cashless everywhere initiative has been initiated, where the customers can receive cashless treatment at any hospital, regardless of network status. This ensures continuity of care and financial protection for customers For a seamless experience policy holders should: * Inform the insurer 48 hours prior to elective procedures *Notify within 48 hours of emergency admission * Ensure the claim is admissable as per policy terms #beaware #healthinsurance

As an HMO director... The stress that comes with managing health insurance claims in Nigeria can be tiring. The delays, the lost data, and frustrated enrollees doesn’t just hurt your business; it damages trust. But imagine this instead: a seamless, stress-free system where claims are processed faster, your team is more efficient, and patients leave satisfied every time. That’s what KompleteCare's Health Insurance Software brings to the table. With KompleteCare, you effortlessly deliver the member-centric service you promised. PS: Check the comment for how to schedule a free demo. #healthinsurancesolution #digitalhealth #hmo

Some payers require an approved prior-authorization before providing the procedure or service to the patient. With continuous increasing procedure costs, payers want to make sure that the procedure is medically necessary for the patient. Revenulytics follows its own 3P's in obtaining prior authorization from your health insurance. These steps reduce the risk of your prior authorization being rejected. Send your inquiries to support@revenulytics.com and let's get your prior authorization approved! #Revenulytics #RCM #PriorAuthorization

Recently, Change Healthcare, a subsidiary of UnitedHealth Group and one of the largest platforms for managing health insurance billing and payments in the United States, experienced a large-scale cyberattack. The attack forced the company to temporarily shut down over 100 services across its system, affecting millions of health care providers and patients. This article provides more details on the Change Healthcare cyberattack and offers tips to help organizations prevent similar events. Contact Sync Insurance for additional risk management resources. #newsbrief #cyberattack #changehealthcare #unitedhealthgroup #healthinsurancebilling #SYNCinsurance https://lnkd.in/eAs5CByM

The ability to use private data without it ever being exposed or shared is a huge innovation. Here's an example of a consumer applying for health insurance without ever having to send their health information. This innovation opens up a variety of use cases in which the user maintains control over their data at all times. Now more than ever, people need privacy settings and strategies to keep their private data without compromise or risk. #omitteddisclosures #insurance #healthinsurance #dataprivacy #healthtech

"In Patient Access, the health insurance card isn't just a piece of plastic - it's the guiding star. From accuracy in patient records to streamlined authorizations, learn how listening to its guidance ensures operational efficiency and patient satisfaction written by Audrina Cato, CHAA. " NAHAM Read it here: https://lnkd.in/dncXVrNh #NAHAM #NAHAMConnections #Banner #PAS #HFMA #HealthInsurance

Good news for India's healthcare system! The National Health Claim Exchange (NHCX) is expected to be operational in just 2-3 months, according to the source deccan Herald. This digital platform aims to streamline health insurance claims processing, potentially leading to: Faster claim settlements Improved transparency Reduced administrative burden This is a significant development for India's healthcare sector! The NHCX could make navigating health insurance claims a smoother experience for everyone. Read the full article here: https://bit.ly/4avPoQL #HealthInsurance #Insurance #InsuranceNews

A value addition to the digital health infrastructure under ABDM. Could be a game changer, like UPI.

Combating Fraudulent Claims: Streamline Health Insurance Claim Verification with OnGrid In today's healthcare landscape, ensuring the legitimacy of claims is crucial for both insurers and patients. #OnGrid offers a comprehensive field audit solution to streamline insurance claim verification, specifically for health and travel insurance claims. Our process includes: 1) Patient Verification: Confirming the patient's identity and medical history. 2) Hospital/Doctor Verification and Survey: On-site verification of treatment details and facility legitimacy. 3) Patient Document Verification: Meticulous review of essential documents like insurance policies and medical records. Partner with OnGrid and ensure a secure, efficient, and cost-effective approach to health insurance claim verification. Click here to book a demo: https://lnkd.in/gUTTFvep #Insurance #Healthcare #FraudPrevention #FieldAudits #Verification

Telemedicine is revolutionizing healthcare! From better access to lower costs, explore how this trend is reshaping health insurance and patient care. https://lnkd.in/dQBnZfkR #ExpertInsurance #Insurance #Telemedicine #HealthInsurance #CaliforniaInsurance #Torrance