Skip to main content

Posts

Showing posts from November, 2019

Best Practices for Implementing Claims Software in Your Organization

Implementing claims software in your organization can be a transformative process, streamlining workflows, improving accuracy, and enhancing customer satisfaction. However, successful implementation requires careful planning, execution, and ongoing evaluation. In this comprehensive guide, we'll delve into the best practices for implementing claims software effectively in your organization, ensuring a smooth transition and maximizing the benefits for your business. Assess Your Organization's Needs Before selecting a claims software solution, it's crucial to assess your organization's specific needs and challenges. Conduct a thorough evaluation of your current claims processes, identifying pain points, inefficiencies, and areas for improvement. Engage key stakeholders across departments to gain insights into their requirements and preferences. This initial assessment will serve as the foundation for selecting the right software solution that aligns with your organization

Do TPAs Really Need Health Insurance Claims Management Software

We are on the verge of 2019, and it is pretty clear that health insurance claims management software will be again playing a dominant role in the insurance industry in 2020. From labor-intensive claims processing to digital claims management, we are living in an era where customers want complete content. The speed of processing claims and accuracy also matters a lot.  However, considering the price range and the confusion between the choices of claims software, is investing in them really worthy? Or an overrated waste of money? Let's figure it out together below. Speed and Satisfaction According to a study by Ernst and Young, 87% of policyholders admit that they will change their insurance providers if their claims aren't handled the proper way. Thus, there are no doubts that speed is a major influence is giving customers the satisfaction and claims processing they want. Usually, claims processing used to take around 6 months or even up to a year when claims were manu

Consumer Demands That Are Shaping the Future of Online Claims Management Software

Hundreds of TPAs and insurance companies rely on online claims management software systems for faster adjudication and reimbursement process. However, their requirements aren't the only factors on which the development of these applications entirely relies. Several consumer demands are also prioritized to help the TPAs in providing top-notch service to insurance companies. Some of these consumer demands on which the future of online claims management software depends are: Claims Processing Time Both TPAs and insurance companies understand the importance of time in processing claims. Nearly half of the customers change their insurance providers if their claims are delayed. However, there is no fixed duration in which claims are processed. Meaning, for some cases it can take 2-3 weeks, and in some nearly 6 months. To decrease this processing time, online claims management can simplify procedures like eligibility checks and plan management. Multi-User Support The