In the care management plan puzzle, payers in the healthcare system hold key pieces needed to complete it. In fact, they’re often the only ones who know the full picture of the services a patient is receiving. Taking the time to understand the role of payers in care...
Claims data is created each time a patient covered by an active health insurance plan visits a healthcare provider. After the visit, the provider will submit a summary of services rendered to the patient’s payer for reimbursement, and that information forms part of...
