Tag:

Electronic Transaction

Latest Headlines

Latest Headlines

Aetna exclusive: How IT tools cut costs, improve payer-provider transactions

Thanks to "medical loss ratio" (MLR) mandates that establish administrative cost caps on payers, the customary transaction processes between providers and payers are no longer practical. With that in

CMS to publish new rules for eligibility and claims status transactions

Electronic transaction standards already used voluntarily by many payers in insurance eligibility and claims status transactions will become mandatory under an interim final rule set to publish July