SHN THOUGHT LEADERSHIP · SHNINC.ORG Automation Without Accurate Data Is Just Expensive Chaos By Anne Glorioso, CEO · Solidarity Health Network, Inc. · Cleveland, Ohio The healthcare industry is racing toward automation. And honestly? Good. It’s about time. AI-powered claims systems. Electronic prior authorization. Real-time interoperability. Automated repricing. Predictive analytics. Smart provider matching. […]
Tag: claims
Credentialing Isn’t Paperwork. It’s the Backbone of Your Network.
Every health plan and every provider network has a credentialing function. Not every health plan and every network has a credentialing *system* — and the difference between those two things is where most of the downstream pain in this industry comes from. Credentialing is the gate. It determines who is permitted to bill the plan, […]