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Claims Investigations

5 Must Know Workers’ Compensation Regulations Coming in 2025

With the end of the year quickly approaching here are some of the most important trends, regulations, and laws being introduced as of January 2025. Regulations to Expect in Workers’ Comp 2025 The Florida Chamber of Commerce and the National Council on Compensation Insurance (NCCI) recently reviewed a proposed… Read More

Dec. 2, 2024 • 6 min. read

Claims Investigations

How Technology Impacts Medical Claims Management

Nov. 22, 2024 • 3 min. read

Utilization Management

Why Does Value-Based Care Matter in Utilization Management?

Nov. 12, 2024 • 5 min. read

Medicare Solutions

What is Medicare Secondary Payer (MSP) and How Does It Work?

Nov. 8, 2024 • 5 min. read

Utilization Management

Simplifying Utilization Management

Nov. 1, 2024 • 6 min. read

Utilization Management

Prior Authorization Compliance 2026: Are You Ready?

Oct. 18, 2024 • 6 min. read

Claims Investigations

5 Signs of Storm Fraud Post-Hurricane

Oct. 11, 2024 • 4 min. read

Claims Investigations

What is the Psychology of Fraud?

Sep. 26, 2024 • 5 min. read

Digital Investigations

Traditional vs. Generative AI: What’s Better for Insurance?

Sep. 20, 2024 • 5 min. read

Digital Investigations

Digital Fraud: How to Protect Your Claims?

Sep. 19, 2024 • 3 min. read

Utilization Management

3 Steps to Mastering Utilization Review

Aug. 30, 2024 • 3 min. read

Claims Investigations

Price Gouging During Hurricane Beryl – Explained

Aug. 26, 2024 • 4 min. read

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Case Management

Telehealth: What Insurers Need to Know in 2024

Jul. 24, 2024 • 5 min. read

Claims Investigations

SOC 2 Type 2: The Golden Standard

Jul. 3, 2024 • 3 min. read

Claims Investigations | Digital Investigations

Do Insurance Regulations Preclude Carriers from Using Drones in Claims?

Jun. 27, 2024 • 5 min. read

Claims Investigations

How To Combat Auto Theft Fraud

Jun. 24, 2024 • 3 min. read

Claims Investigations | Digital Investigations

Generative AI: A Balance Between Innovation and Privacy

Jun. 20, 2024 • 5 min. read

Claims Investigations

Can an IME determine Maximum Medical Improvement (MMI)?

Jun. 12, 2024 • 4 min. read

Claims Investigations | Digital Investigations

Identify Fraud With Techniques From OSINT-Certified Instructors

May. 30, 2024 • 5 min. read

Claims Investigations

The Benefits of Pharmacy Canvassing in 2024

May. 10, 2024 • 5 min. read

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