Resources

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Navigating the Turbulent Waters of Claims Administration Software

With the claims administration landscape changing, having a reliable software partner is becoming even more increasingly important. See what you should consider as you're reviewing potential claims administration software vendors, and why IPS is the right choice.

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Charting Clients' Compliance: How to Avoid Noncompliance Penalties Today and Tomorrow

New transparency regulations are on the horizon and here to stay. Learn how your clients can navigate NSA and TiC compliance today and LCMTA and AEOB compliance tomorrow with Transparency+.

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Why Salesforce?

Learn how, through Salesforce, IPS provides clients with cloud-based solutions that feature unmatched flexibility and integration. Built on Salesforce, Encompass+ and Transparency+ plug directly into all areas of business growth.

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Smarter, Simpler Benefits Administration with Encompass+

Businesses need a flexible and scalable solution to stay ahead of the curve and complexities of benefits administration. Discover how IPS harnesses the power of Salesforce to make benefit administration more efficient than ever before.

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Pricing Tool Myths: Addressing Common Misconceptions Around Pricing Tool Requirements

This whitepaper takes a closer look at these requirements in detail, the necessity of having a system that will fulfill good faith estimates (GFEs) and advanced explanation of benefits (AEOBs) down the road, and how cloud-based technology can immediately address the current and future needs of plan sponsors and employers when it comes to the No Surprises Act.

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No Surprises Act and Transparency in Coverage Final Rule: 4 Compliance Challenges TPAs Face

As of the publishing of this paper, future rulemaking and announcement of reporting deadlines regarding this law are still forthcoming, allowing for plans and insurers to modify contractual agreements, develop new procedures, and compile all necessary data. Given the guidance that has so far been laid out with the release of the Final Rule on August 19, 2022, here are four specific challenge areas that Third Party Administrators are facing.

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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…

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Clarity on Transparency: The No Surprises Act Fulfillment Timeline

Penalties for the No Surprises Act are Coming and Health Plans need a reliable solution in place as soon as possible.

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Are You Prepared for the No Surprises Act?

IPS is leading in the industry by providing the most comprehensive, flexible transparency solution on the market with the most efficient implementation possible.

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Understanding the CMS Transparency Rule and the No Surprises Act

Effectively resolving claims and processing data can be challenging. Add in new regulatory requirements and finding the right software solution becomes even more critical.

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