Put Some Sense into Processing Claims in a Timely Manner The practice of an MCO or Medicaid billing a health insurance provider is backwards. It’s really the responsibility of the commercial insurer to make the initial payment, so that insurance

This is the second post in a three part series in which we discuss what steps states should follow to develop an effective TPL plan.  In part one, we discussed the need for insurers to cooperate in the active identification

For any state to gain an effective TPL plan, immediate and effective discovery of additional coverage is needed at Medicaid enrollment. Also, cost avoidance discovery must take on immediacy when claims are made and past mistakes need to be solved