Coordination of Benefits
Zane Networks is a leader in healthcare transformation services and solutions
Coordination of Benefits Platform
Zane Networks is working to improve payment integrity and streamline the coordination of benefits (COB) processes for Medicaid and managed care plans. Through our industry partnerships, we are helping payers to identify primary and secondary healthcare coverage before claims are paid – increasing payment accuracy while reducing the administrative costs associated with recovery.
Through these efforts, state agencies and health plan clients can better interpret coverage determinations to facilitate member research, enable plan-to-plan inquires, and track claims for faster coordination of benefits resolution.
Weekly data validations
Improved payment integrity
Increase verification of claims
ZaneNet has developed a COB solution that integrates CAQH’s coordination of benefits product, COB Smart® for its customers. This allows for the identification of primary and secondary healthcare coverage before claims are paid – increasing payment accuracy while reducing the administrative costs associated with recovery. In late 2021, Zane Networks significantly enhanced the Coordination of Benefits program for a regional Medicaid agency – helping them to improve processes for their beneficiaries with overlapping coverage, while ensuring that all claims are paid correctly the first time.
By providing crucial oversight that both confirms data quality and secures the privacy of that data, we are able to improve payment accuracy for our clients while reducing expenditures associated with member canvassing, claim reprocessing, data validation and recovery.
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