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Tech & Tools

AutoVerifi Technology

Because between 1% and 5% of Medicaid claims are assigned to the exceptions list, billions of dollars in claims never undergo the Coordination of Benefits process. That scrutiny is used to establish the order in which health insurance plans pay claims in the presence of multiple plans.

A new technology solution offers ways to streamline coordination of benefits. Medversant, a provider of Web-based credentials verification solutions for the healthcare industry, has developed AutoVerifi technology which helps to determine responsibility for claim payment, whether Medicaid or another provider.

The technology helps to prevent fraud throughout credentialing, contracting, enrollment, and claims management. After acquiring provider credentials, it electronically verifies them against thousands of databases, including state licensing boards, the Drug Enforcement Administration, the National Technical Information Service, and the National Provider Data Bank. Learn more »