5 CFO Takeaways From The Surge of Ineligible Claims

Almost 4 in 10 disputes submitted to the IDR process are deemed ineligible by insurers.

A recent joint report from America's Health Insurance Plans (AHIP) and the Blue Cross Blue Shield Association (BCBSA) found that insurers identify roughly 39% of all disputes submitted to the federal independent dispute resolution (IDR) process under the No Surprises Act (NSA) are ineligible, and that rate rises to about 45% for non-emergency service disputes.

Both payers and providers face mounting costs and delays as IDR entities struggle to filter invalid cases, complicating cash flow for health systems.

How can CFOs strategize for smooth claims processing? Check out these five tips. 

Check out the accompanying article for a deep dive.