If you need to understand how to calculate OPMEs correctly to avoid losses and automate the whole process intelligently, this post is for you! Read to the end!
The CBHPM (Brazilian Hierarchical Classification of Medical Procedures) table is an essential reference in the routine of medical bill analysts and managers. It organizes medical procedures in a standardized way,
Efficient cost management is one of the biggest challenges for health insurance companies. Auditing medical bills is essential for ensuring compliance and avoiding waste,
Relationship management in supplementary healthcare is fundamental when it comes to establishing solid partnerships with hospitals, clinics, laboratories and suppliers of hospital materials. Clear communication and
Staff training and development are central to the success of a healthcare operator, especially in the face of the sector's specific challenges and demands. Training employees in
In this article we're going to show you how to win over customers in the supplementary health sector by following in the footsteps of the largest Brazilian health operators. As a highly competitive sector with a growing demand for
Artificial intelligence in healthcare is becoming as disruptive a force as in many sectors. With the advance of machine learning technologies, natural language processing and predictive analytics,
Verticalization in supplementary healthcare refers to the vertical integration strategy adopted by health insurance providers. This means that a single company controls several stages of the healthcare process.
Waste in supplementary healthcare is a significant challenge that affects the sustainability of healthcare systems around the world. Reducing waste not only improves efficiency and
The claims rate, which represents the proportion of claims (complaints or reimbursement requests) in relation to the total value of premiums received by a health insurance company, is one of the most important factors in the health insurance industry.
