Tag: Claims Submission

Electronic Claims Management

Electronic Claims Management: Overcoming ERA and PA Challenges

The U.S. healthcare industry continues its digital transformation, with providers and payers embracing electronic transactions to streamline revenue cycle management (RCM) processes. According to the CAQH Index, adoption of electronic claims management transactions—such as eligibility verification, claim submissions, and claim status inquiries—has reached or surpassed 80% for many transaction types. However, significant gaps remain in […]
Automating Claims Management Processes

How Automated Claims Management Significantly Reduces Healthcare Costs

In today’s complex healthcare environment, efficiency and cost control are critical for the financial health of providers, payers, and revenue cycle management (RCM) companies. One area that continues to experience inefficiencies is the claims management process—where errors, delays, and administrative overhead inflate operational costs. However, the rise of automation technologies is changing the game. Automating […]