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...

Choosing the right TPA, ASO or network business software is challenging. The wide range of platform capabilities can be both confusing and overwhelming (and so can the price tag that comes with them). Select the wrong option and it can cost your business time,...

Among other requirements, the No Surprises Act’s Transparency in Coverage Regulations obligates TPA’s, group health plans and insurers to provide advanced EOBs for scheduled services beginning in January 2022. This will allow patients to know what most health care...