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Claim denials are no longer an occasional billing nuisance. According to Experian Health’s 2025 State of Claims survey, 41% of U.S. providers now report denial...
Every time a health insurance payer processes a claim, it generates a document that explains exactly what was paid, what was adjusted, and what the...
Every time a patient leaves a provider’s office, a hospital, or a clinic, the clinical encounter needs to be translated into a language that insurance...
Every time a physician sees a patient, performs a procedure, or orders a diagnostic test, that service must be translated into a standardized code before...
Despite the fact that two-thirds of denied claims are recoverable, research consistently shows that up to 65% of them are never reworked or resubmitted —...
Marc Genson
Raj Inamdar
Harriet S. Weiss