claims, authorization and referrals, enabling Humana to quickly answer questions that were never answerable before. In the previous IVR system, a request for “benefits” could lead to a seven-page fax. Now, the Watson solution is able to respond with a specific “point” benefit, such as, ...
Benefit and Claims Rep.(在职员工)-Salt Lake County, UT-2017年9月19日 Humana is a great company to work with. The call center C3, is a little hard to manage. Wish the benefits were worth the job, and the pay was worth the work. ...
While we know that 2021 prospective payment amounts from CMS based on diagnoses codes incurred through June of 2020 and submitted by the first Friday in September, over the coming months, these payments will be adjusted to reflect additional conditions documented for claims incurred within the 20...
Humana, a leading health insurance provider, reduced costly pre-service calls and improved the provider experience with conversational AI.
no matter what the circumstances were. This included claims resolutions, and explanation of benefits, which would be quite time consuming. These services were provided to members, all types of providers, including doctors, hospitals, pharmacies, durable medical equipment providers, et.al.; many of ...