IPS Blog

Insights on Claims Administration, Compliance, and Healthcare Operations

Read the latest blogs from Integrated Payor Solutions covering healthcare claims administration, the No Surprises Act (NSA), the Transparency in Coverage Rule (TiC), operational strategy, and trends impacting TPAs, ASOs, networks, and health plans.

The Human Impact of Modern Claims Administration

Claims administration is often discussed through the language of systems, workflows, and processing capacity. Those are important considerations, but they only describe part of the story. Every claim represents someone waiting for an answer. A member may be trying to understand what was covered after a procedure, or a provider may be waiting for payment. Behind each interaction is an administrative process that can either move the experience forward or create another question. Modernization offers…

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Integrated Payor Solutions Launches TPA to the Forefront of the Industry with Encompass+

Integrated Payor Solutions (“IPS”), a cloud-based healthcare compliance and administration solutions provider, has designed and launched the tech platform of a Texas-based third-party administrator. Built on IPS’s Encompass+ solution, this TPA achieved integration with Cigna in just 60 days and began processing claims with unmatched flexibility and power in 90 days.

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Integrated Payor Solutions Partners with Yuzu Health to Revolutionize Digital Self-Funded Health Plans

Integrated Payor Solutions (IPS), a benefits administration and compliance solutions provider, is collaborating with tech-powered TPA Yuzu Health (Yuzu) to engineer a new generation of self-funded health plans that enhance and customize member experience, support, and value. Driven by a mutual care to improve the way members and employers handle healthcare and a need for modernized integration and adjudication, Yuzu is leveraging its collaboration with IPS to offer creative plan offerings to the industry’s most forward-thinking employer groups and brokers.

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Integrated Payor Solutions Completes Price Comparison Tool Built for No Surprises Act Compliance and Shares its Success 

Integrated Payor Solutions, a company providing the industry-leading No Surprises Act Compliance Solution, announced the success of its Transparency+ tool and its impact on the healthcare industry. Integrated Payor Solutions created the Transparency+ tool, a solution focused on the No Surprises Act and Transparency In Coverage Rule. Transparency+ was founded on a powerful platform, Salesforce, and its features include machine-readable files, and now, the price comparison tool.

Update: Final Surprise Medical Billing Rules

Are you prepared for 2023 enforcements for Transparency in Coverage compliance? Following the Federal Departments’ release of the Final Rule on August 19, 2022, additional clarity on the Transparency in Coverage Rule for self-funded health plans outlines expectations for maintaining compliance with upcoming enforcement deadlines. Learn about some of the key updates.

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Integrated Payor Solutions Finalizes Build for Machine-Readable Files Component of Bolt-On Transparency Compliance Solution 

Integrated Payor Solutions, a company providing a full-stack tech solution for medical claims processing and bolt-on compliance solution for the No Surprises Act (NSA), announced the completion of the machine-readable files component of their NSA solution, Transparency+.

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Integrated Payor Solutions Partners with Cornerstone Preferred Resources to Provide Advanced EOB Solution, Transparency+

Integrated Payor Solutions, a company providing a full-stack tech solution for medical claims processing, announced a new relationship with Cornerstone Preferred Resources (CPR), a Houston-based third-party administrator, to provide a software solution that helps CPR achieve compliance with new price transparency requirements.

Modern Solutions for Complex Healthcare Operations

IPS delivers flexible, cloud-based technology for claims administration and healthcare compliance workflows.