health plans

Conduent Broadens Healthcare Payer Portfolio with New Innovative AI-Driven Provider Data Management Solution for Health Plans

Conduent Business Services, LLC

Conduent Business Services, LLC

New solution offers a single data source to keep network directories accurate and up to date in real time.

AI, automation and advanced analytics eliminate manual processes to authenticate and validate doctors’ information, reduce costs, improve compliance and provider and member satisfaction

FLORHAM PARK, N.J., May 24, 2023 (GLOBE NEWSWIRE) — Conduent Incorporated (Nasdaq: CNDT), a global technology-led business solutions and services company, today announced a new Provider Data Management (PDM) solution that brings health insurance companies a single, real-time data source to ensure the accuracy of their doctors’ directories. The PDM uses innovative AI and advanced analytics to collect, validate and communicate a doctor’s participation within a network, demographic revisions and other key data points. The company’s newest solution enables health insurance companies to improve claims auto-adjudication rates by reducing common data errors—such as incorrect addresses and speciality information—and enhances doctor and member satisfaction with

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Accused seller of ‘sham’ insurance paid for consumer refunds

A Tampa-based health insurance distributor accused by the Federal Trade Commission of misleading consumers into buying “sham” health insurance plans has filed for Chapter 11 bankruptcy protection.

Benefytt Technologies, which has offices in Fort Lauderdale and Sunrise, last year settled a Federal Trade Commission complaint that it participated in “deceptive, unfair and abusive acts” in connection with the sale and marketing of its memberships and related health products, including short-term medical plans, limited benefit plans and medical discount plans.

According to the FTC, the company targeted customers searching for insurance that complied with the Affordable Care Act. In agreeing to the settlement, Benefytt agreed to pay $100 million to refund consumers but neither admitted nor denied the allegations.

That $100 million payment, combined with $27.5 million the company paid to settle a class-action lawsuit over related allegations and $11 million paid to settle claims by the Securities and Exchange Commission,

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