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claims

As Pharmacies Recover From Change Healthcare Attack, Some Facilities Face Thousands of Unprocessed Claims

Most pharmacy systems have resumed processing claims after the massive cyberattack that forced Change Healthcare to ...

JUNE 13, 2024

AI May Not Be So Smart When Payors Use It To Deny Medical Claims

Concerns are growing about the increasing use of artificial intelligence to review—and in many cases ...

FEBRUARY 23, 2024

Navigating Legal Pitfalls in Payor– PBM Networks

The price of failing to accurately navigate specialty pharmacy networks can range from one-year bans to attracting ...

OCTOBER 7, 2022

Millions Recouped Via Flipped Infusion Claims

Pharmacists at UNC Medical Center, in Chapel Hill, N.C., are showing their worth when navigating the intricacies of ...

OCTOBER 6, 2022

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