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Most health plans today offer more than one type of coverage. Medicare Advantage, Group, ACA, Medicaid, vision, and dental may all live under the same organizational umbrella. Each line of [...]

Health plan billing teams routinely spend hours each month on three manual processes that modern billing software should automate entirely: retroactive adjustment processing, delinquency [...]

Reporting is the capability that health plans most consistently underestimate when evaluating premium billing software. A billing platform that cannot show you an accurate aging report, break [...]

ACA grace period management can be a compliance-risk function in health plan billing. Get it right, and it is largely invisible. Delinquent members are tracked, notified, and either make a [...]

When health plans evaluate premium billing software, they often are choosing among two fundamentally different types of systems: core admin billing modules that handle billing as one function [...]