Accurate fraud detection is the key to automated claims decisions.
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Showing results for "Abuse"
Blog
Fraud Awareness Week: The Many Faces of Fraud, Waste and Abuse
What do the following have in common? Patients misrepresenting a non-covered procedure as medically necessary to get insurance to reimburse the cost; unbundling, or billing separately for component pieces of a single procedure; doctors billing the insurance company for a procedure that was never done; providers who are offered incentives to write prescriptions for certain […]
November 20, 2019
Blog
Shift Seminar Tokyo: Providing Answers to the Questions on the Minds of Japanese Insurers
Recently, Shift Japan hosted more than 120 insurance-industry professionals at its inaugural Shift Seminar Tokyo event. Covering the theme “AI strategies to accelerate innovation in the insurance business,” the seminar addressed the increasing interest among Japanese insurers in how the global InsurTech ecosystem can benefit their businesses. And among the InsurTechs getting the most attention […]
November 8, 2019
Health
August 15, 2019