"Healthcare cost inflation is a national problem, shared by everyone in the industry and those being served by it, patients and consumers ... But incorrect payments are largely confined to insurers, who suffer the consequences of lost revenue by paying claims that, say, should have been covered by auto insurance, or by losing Medicare Advantage reimbursement due to erroneous eligibility information with the CMS' mandatory insurer reporting (or section 111) files. With provider upcoding and demand for healthcare services bound to continue ... payment integrity is one area where insurers can start to make a large difference."

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