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We need the standard operating rules to encompass authorizing tests and treatments, submitting claims, verifying where in the process a claim is and the real-time adjudication of denials.
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Real-time claims adjudication is a big component of his proposals.
Instant processing has been discussed in the health care industry long enough that it has acquired a formal term: "real-time claims adjudication".
Nonetheless, some large insurers, led by Humana, have been pushing the rest of the industry to adopt real-time claims adjudication.
Marylou Bailey, a health industry expert at Accenture, the management consulting company, says the principal precondition for adoption of real-time claims adjudication is to have doctors use electronic medical records — and to enter the data as they see patients.
Instant processing has been discussed in the health care industry long enough that it has acquired a formal term: "real-time claims adjudication". But progress toward universal adoption has been slow.
("Relevant, Reliable, Real-Time").
Real-Time Calendar Notifications.
"Real-time Tweets?
"They are real-time systems.
Real-time Operating System.
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