ClaimShark and UST HealthProof combine to offer payers unparalled flexibility and convenience for BPaaS Payment Integrity. With UST HealthProof’s strong services and Health Plan operations offering, coupled with ClaimShark’s market-leading payment integrity and audit platform, payers can boost claims accuracy and reduce abrasion. UST HealthProof clients to now access COB-As-A-Service, Payment-Integrity-As-A-Service, including all the major audit types (DRG and Chart Audits, Itemized Bill Reviews, High Dollar Audits, and more)
Visit www.ust.com for more information
ClaimShark, a leader in healthcare payment integrity solutions, partnered with CAQH, an industry pioneer in data solutions, to revolutionize Coordination of Benefits (COB) operations for health plans. This strategic alliance combines ClaimShark’s AuditShark platform with CAQH’s COBSmart data, offering health plans a powerful tool to enhance prepay cost avoidance and accelerate the identification of post-pay overpayments related to COB.
This partnership aims to automate and streamline COB processes that are often bogged down by manual inefficiencies. By integrating COBSmart data with AuditShark’s advanced technology, health plans can efficiently manage multiple COB data streams—such as CAQH COBSmart, Third Party Liability files, and Medicare Secondary Payer data—transforming these resources into actionable insights that maximize cost savings and improve overall operational efficiency.
Visit www.caqh.org for more information
Partnership Benefits and Highlights
Maximize Cost Avoidance
Automate COB overpayment detection and focus on high-impact savings
Global TPL Data Management
Validate all eligibility data, like Third Party Liability (TPL) and Medicare Secondary Payer (MSP) files, with full automation
Automatically Verifiy EVERY CAQH Lead
Leverage the largest eligibility data file for automated, accurate results
Advanced Analytics and Reporting
Easily measure and report ROI and discover hidden insights
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