ClaimShark

Have you ever wondered how we help health plans improve their Payment Integrity and Audit capabilities over here at ClaimShark? Wonder no more!  New on the ClaimShark website: 𝗼𝘂𝗿 𝗲𝘅𝗽𝗹𝗮𝗶𝗻𝗲𝗿 𝘃𝗶𝗱𝗲𝗼 𝗶𝘀 𝗵𝗲𝗿𝗲! 🎞️    This is your one-stop overview of how our flagship products transform payer operations. Head to our website now to watch and see the future of payment integrity in action! ⬇️ #ClaimShark #ExplainerVideo #HealthPlans #PaymentIntegrity 

An 𝗔𝗜 “𝗮𝗿𝗺𝘀 𝗿𝗮𝗰𝗲” is already underway and will reshape the future of claims review. 🚀 Mature Payment Integrity teams at health plans have a temporary upper hand, but providers are rapidly catching up. 𝗖𝗹𝗮𝗶𝗺𝗦𝗵𝗮𝗿𝗸 helps Payment Integrity teams of all maturity levels stay ahead in this evolving space, maximizing recoveries and streamlining operations with precision and efficiency. Source: https://lnkd.in/gdNhRTZk #AI #HealthPlans #ClaimsReview #PaymentIntegrity #ProviderAbrasion 

The ClaimShark team has touched down in New Orleans, LA! If you’re at NHCAA ATC, come find us at Booth 𝟮𝟭𝟬. We’d love to connect and hear about your 𝗣𝗮𝘆𝗺𝗲𝗻𝘁 𝗜𝗻𝘁𝗲𝗴𝗿𝗶𝘁𝘆 𝗶𝗻𝘀𝗶𝗴𝗵𝘁𝘀 𝗮𝗻𝗱 𝗶𝗻-𝘀𝗼𝘂𝗿𝗰𝗶𝗻𝗴 𝗮𝘂𝗱𝗶𝘁𝗶𝗻𝗴 𝗻𝗲𝗲𝗱𝘀!👋 Eva Koart Rob Olson Ram Davaloor Suresh Kothapalli #PaymentIntegrity #NHCAAATC #ClaimsAuditing

⚠️ 𝗠𝗲𝗱𝗶𝗰𝗮𝗿𝗲 𝗔𝗱𝘃𝗮𝗻𝘁𝗮𝗴𝗲 (𝗠𝗔) 𝗽𝗹𝗮𝗻𝘀 𝗮𝗿𝗲 𝗳𝗲𝗲𝗹𝗶𝗻𝗴 𝘁𝗵𝗲 𝗳𝗶𝗻𝗮𝗻𝗰𝗶𝗮𝗹 𝘀𝗾𝘂𝗲𝗲𝘇𝗲, 𝗮𝗻𝗱 𝗼𝘂𝘁𝗱𝗮𝘁𝗲𝗱 𝗰𝗼𝘃𝗲𝗿𝗮𝗴𝗲 𝗱𝗮𝘁𝗮 𝗶𝘀𝗻'𝘁 𝗵𝗲𝗹𝗽𝗶𝗻𝗴. When CMS overestimates Other Insurance coverage due to bad data, it means plans are missing out on premium revenues while members are racking up medical costs at commercial rates. Here’s 𝗼𝘂𝗿 𝘀𝗼𝗹𝘂𝘁𝗶𝗼𝗻: By maximizing MSP and COB accuracy with a 𝙜𝙡𝙤𝙗𝙖𝙡 approach to TPL Data, payers can accurately identify when Medicare is truly primary, collect those premiums, and ensure payment accuracy – reducing costs and increasing savings and compliance. Get started today and see how much you could save with AuditShark COB! Source: https://lnkd.in/gwijwjVy    #MedicareAdvantage #MA #ClaimShark #Payers #MSP #CoordinationOfBenefits #COB 

Exciting News! ClaimShark is heading to the 𝗡𝗛𝗖𝗔𝗔 𝗔𝗻𝗻𝘂𝗮𝗹 𝗧𝗿𝗮𝗶𝗻𝗶𝗻𝗴 𝗖𝗼𝗻𝗳𝗲𝗿𝗲𝗻𝗰𝗲 𝟮𝟬𝟮𝟰 in New Orleans, LA, from 𝗡𝗼𝘃𝗲𝗺𝗯𝗲𝗿 𝟭𝟵 – 𝟮𝟮! ✈️ Join us at Booth #210 to learn more about how we’re helping payers solve their most pressing Payment Integrity and Audit challenges. From accessing new Payment Integrity Insights to In-Sourcing Payment Integrity Audits, swing by to say hello or schedule time with our experts now. We’re looking forward to connecting with you in New Orleans! Secure Time with ClaimShark!: https://lnkd.in/gipgqZwT #NHCAAATC2024 #ClaimShark #Payers #HealthPlans #PaymentIntegrity Rob Olson Eva Koart Ram Davaloor Suresh Kothapalli

📊 𝟲𝟳% 𝗼𝗳 𝗽𝗮𝘆𝗲𝗿𝘀 want to improve communication and feedback loops with providers when it comes to payment integrity. 𝗖𝗹𝗮𝗶𝗺𝗦𝗵𝗮𝗿𝗸—our Payment Integrity Command Center— makes it easy for health plans to enhance provider relationships by centralizing every aspect of payment integrity across the claim lifecycle on a single, comprehensive platform. Access crucial insights from high quality, trusted data today with ClaimShark! 🦈 Source: https://lnkd.in/gn6R_KXr Kisaco Research #HPRI #ProviderAbrasion #ProviderEducation #ClaimShark #PaymentIntegrity #HealthPlans 

AI and machine learning are transforming payer claims 𝗼𝗽𝗲𝗿𝗮𝘁𝗶𝗼𝗻𝘀 𝗰𝗼𝗺𝗽𝗹𝗶𝗮𝗻𝗰𝗲, making it easier to detect configuration errors and ensure payment accuracy and compliance. 🔍    𝗔𝘂𝗱𝗶𝘁𝗦𝗵𝗮𝗿𝗸’𝘀 𝗤𝘂𝗮𝗹𝗶𝘁𝘆 𝗮𝗻𝗱 𝗖𝗼𝗺𝗽𝗹𝗶𝗮𝗻𝗰𝗲 𝗺𝗼𝗱𝘂𝗹𝗲 leverages AI to assist auditors, monitor compliance in real time, select the right claims, identify hot spots, and reduce admin costs. This way, health plans can streamline their processes while reducing waste, incorrect payments, and provider abrasion. Source: https://lnkd.in/gFCePfUz  #Payer #AI #AuditShark #PaymentIntegrity #HealthPlan #ClaimsOps #QA #Compliance #MachineLearning

The ClaimShark team has made it to Washington, D.C.! 🦈 Come find us at CAQH Connect and learn about our COB Automation platform! Rob Olson Ram Davaloor #CAQHConnect CAQH #HealthPlans #PaymentIntegrity #COB #CoordinationOfBenefits

We are excited to announce that we are Silver Sponsors of the CAQH Connect 2024 event, happening from September 25-27, 2024 in Washington, DC! 🎉 This event brings together healthcare industry leaders to discuss the latest innovations in improving healthcare access, efficiency, and digital transformation. We’re honored to be part of this vital conversation. 🚀 Join us at the event to learn more about how we’re helping to drive change and shape the future of healthcare! Know more about us at: https://lnkd.in/eKJEmkgT #claimshark #CAQHConnect #HealthcareInnovation #SilverSponsor #HealthcareTechnology #EventSponsorship #HealthcareTransformation Suresh Kothapalli Ram Davaloor Rob Olson

We are thrilled to be Silver Sponsors for the 2024 CAQH Connect conference in Washington, DC from September 25-27! Looking forward to exploring the value of End-to-End COB Automation with thought leaders and payers from around the country. Come find us there! Rob Olson, Ram Davaloor, & Suresh Kothapalli