Claims, Health Insurance

Battling Health Insurance Claims Fraud

July 18, 2023

Battling Health Insurance Claims Fraud
Insurance companies and providers of health care benefits lose hundreds of millions of dollars yearly due to fraudulent claims for health benefits. Some of these are bogus claims that originate from insured persons, while others are payments for insured services that are not needed but are wrongly prescribed by providers who stand to make illegal profits.

Spotlight

Input 1

For more than 35 years, Input 1, LLC has provided digital billing services and payment solutions to the property and casualty insurance industry. Input 1’s digital billing and payment solutions help insurance carriers and MGAs with tailored offerings at a lower cost and with a shorter implementation timeline than when internal IT resources are used. Input 1’s premium finance outsourcing helps banks, insurance carriers, and insurance brokers build a valuable profit center that also improves service levels and service options for the customer. Input 1’s premium finance and warranty finance SaaS solutions have a very broad application in the insurance financing space. Input 1’s systems are used by some of the largest premium finance companies in the United States as well as smaller boutique agent-owned finance businesses.

OTHER WHITEPAPERS
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Top considerations for insurers in 2023

whitePaper | December 10, 2022

As 2022 comes to a close, insurance companies are facing significant price losses across their portfolios, particularly within long-duration fixed income. On the horizon are the risks of a global recession, peaking fundamentals, persistent inflation and energy crises, particularly in Europe.

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The evolution of fraud in the insurance industry

whitePaper | November 20, 2019

In fact, the Coalition Against Insurance Fraud indicates $80 billion of insurance fraud occurs in the U.S. every year.1 But given the often-intangible nature of insurance fraud, this is hardly a firm figure and doesn’t precisely identify operational costs incurred. With many forms of insurance fraud going unchecked, the actual amount of fraud loss insurers is dealing with — both in the U.S. and abroad — is often an educated guess at best.

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Multi-occupancy buildings insurance - broker remuneration

whitePaper | April 25, 2023

Read the findings of the FCA’s multi-occupancy buildings insurance broker remuneration review, its conclusions and next steps. One of the findings in the broker market was evidence of some high commission rates and poor practices which were not consistent with driving fair value to the customer.

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Streamlining the Automotive Claims Process via Integrated Intelligent Automation

whitePaper | November 21, 2019

As intelligent automation (IA) emerges as a best practice across numerous industries, insurers and technology service providers alike are racing to build out use cases for IA that streamline the various stages of an automotive insurance claim. While automation cannot be viewed as an isolated lever or standalone solution to bring efficiency and cost savings, when IA integrates with other channels, technologies and platforms, it unleashes its full potential.

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How to choose your insurance administration system

whitePaper | December 8, 2022

Advanced insurance administration technology promises to help insurers, MGAs and brokers to simplify processes, reduce costs and transform the customer experience. But how can you make sure you’re choosing the right solution and company to partner with? This short guide sets out the 10 essential questions insurance businesses should ask when selecting a new software provider.

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The role of wearables in private medical insurance

whitePaper | March 9, 2020

Ever since the rollout of electronic devices capable of measuring and recording various types of health data, private medical insurers have been carefully eyeing the potential usage of these devices. This paper discusses the implementation and practical uses of wearable technology in the private medical insurance market.

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Spotlight

Input 1

For more than 35 years, Input 1, LLC has provided digital billing services and payment solutions to the property and casualty insurance industry. Input 1’s digital billing and payment solutions help insurance carriers and MGAs with tailored offerings at a lower cost and with a shorter implementation timeline than when internal IT resources are used. Input 1’s premium finance outsourcing helps banks, insurance carriers, and insurance brokers build a valuable profit center that also improves service levels and service options for the customer. Input 1’s premium finance and warranty finance SaaS solutions have a very broad application in the insurance financing space. Input 1’s systems are used by some of the largest premium finance companies in the United States as well as smaller boutique agent-owned finance businesses.

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