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Agentic AI & automation
How autonomous workflows are reshaping adjudication, coding, and exception handling.
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Latest Blogs
Practical perspectives from the teams running claims, enrollment, and member operations every day.
Aug 5, 2026Blogs
Payment Integrity in Healthcare: A Guide to Accurate Claims and Smarter Payments
Learn what payment integrity in healthcare is and how AI helps health plans improve claims accuracy and reduce fraud, waste, and abuse.
Read More6 min read
Jul 27, 2026Blogs
Medical Claims Decoded: Everything You Need to Know
Discover how medical claims work - from their lifecycle and types to the current challenges in managing them.
Read More9 min read
Jul 17, 2026Blogs
Claims Adjudication: 7 Best Practices in the Age of Agentic AI
Discover 7 claims adjudication best practices to automate workflows, improve payment accuracy, and reduce administrative costs with agentic AI.
Read More8 min read
Jul 7, 2026Blogs
Claims Adjudication Explained: Understand the Process, Its Importance, and the Growing Role of AI
Learn how claims adjudication works, common causes of claim denials, and how AI is transforming healthcare operations with faster, more accurate claims processing.
Read More6 min read
Jun 24, 2026Blogs
Agentic AI in Healthcare Claims: Driving Operational Excellence with Autonomous Workflows
Learn how agentic AI transforms healthcare claims with autonomous workflows, faster reimbursements, improved compliance, and greater operational efficiency.
Read More5 min read
Jun 9, 2026Blogs
Agentic AI for Risk-Bearing Providers: Transforming Third-Party Risk Management
Risk-bearing providers must master third-party risk management and overcome costly third-party administrative drag. Discover how agentic AI modernizes your CAPS for superior compliance, operational efficiency, and administrative resilience.
Read More6 min read
May 29, 2026Blogs
Maximizing Claims Processing Efficiency with AI: Breaking the 80% Ceiling
Learn how AI-powered claims processing automation helps health plans and TPAs exceed 96% straight-through processing rates, reduce operational costs, and eliminate manual bottlenecks in healthcare claim adjudication.
Read More6 min read
May 18, 2026Blogs
Configuring Client-Specific Benefits Without Custom Code
Configuring Client-Specific Benefits Without Custom Code
Read More4 min read
May 11, 2026Blogs
Increasing Speed to Market Through Rules-Based Configuration
Increasing Speed to Market Through Rules-Based Configuration
Read More3 min read
May 4, 2026Blogs
Responding Faster to Public Program Policy Changes Through Configuration
Responding Faster to Public Program Policy Changes Through Configuration
Read More4 min readPage 1 of 4 · 32 items
What we write about
Themes across the library
Payment integrity
Preventing improper payments before money leaves the organization.
Member & provider experience
Branded service, eligibility accuracy, and support that scales with demand.
Operational performance
Benchmarks, SLAs, and the cost of inaction in legacy CAPS environments.
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