Virtual Roundtable: Improving Health Insurance Claims Processing

This summer, the American Medical Association released its third National Health Insurer Report Card, a physician's-eye-view of the health insurance claims system. The report, which examined 2 million claims submitted to seven top insurers, asserts that one in five claims is processed inaccurately by the carrier, leading to $15.5 billion in wasted administrative costs. This isn't for lack of effort on the part of health insurers, which are constantly seeking to select and implement claims processing systems that improve efficiency and reduce cycle times. What technology platforms can help insurers process claims more quickly and accurately? What are potential areas of improvement, and how can technology address these pain points?

Nathan Golia is senior editor of Insurance & Technology. He joined the publication in 2010 as associate editor and covers all aspects of the nexus between insurance and information technology, including mobility, distribution, core systems, customer interaction, and risk ... View Full Bio