Beyond claims: How to design a more member-centric COB process
Event Date: 6/2/2021
Event Overview
Wednesday, June 02, 2021
11:00 AM CT – 12:00 PM CT (60 minutes)
Vendor Spotlight Host: Cotiviti
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Your members’ lives are not linear. Unpredictable circumstances, such as major illness or job loss, impact how coordination of benefits (COB) rules are applied and often create gaps in information between members, providers, employers, and payers. This can create uncertainty about what is covered and who is responsible for payment. In this panel webinar, Cotiviti payment leaders will explain how to optimize your COB process to account for variable member life events to help ensure proper COB determinations.
During this webinar:
- Learn how to look beyond claims to see the whole member experience, including variable member life events, to help ensure proper COB determinations
- Understand how to perform focused and intentional member selection
- Get guidance on using predictive analytics and expert experience to address complex billing scenarios
- Grasp the importance of integrating prospective and retrospective payment integrity processes
About Cotiviti:
Cotiviti is a leading solutions and analytics company that is reshaping the economics of healthcare, helping its clients uncover new opportunities to unlock value. Cotiviti’s solutions are a critical foundation for healthcare payers in their mission to lower healthcare costs and improve quality through higher performing payment accuracy, quality improvement, risk adjustment, and network performance management programs. Cotiviti’s healthcare solutions are powered by Caspian Insights, a proprietary data and analytics platform spanning thousands of unique member and provider data types across financial and clinical domains, representing the most comprehensive longitudinal data set in healthcare. The company also supports the retail industry with data management and recovery audit services that improve business outcomes. For more information, visit the Cotivity company profile.
Notice to Participants:
Please note that this webinar is a Vendor Spotlight and will be a capabilities-focused presentation. While this vendor is not under contract with the Health Plan Alliance, we believe this webinar will provide you the opportunity to learn more about this vendor and the programs and services it provides. Offering this webinar does not imply that the Health Plan Alliance endorses this vendor. The webinar is merely for informational purposes only. Should you wish to share feedback and/or have questions about this vendor, please contact Jaime González, the Alliance’s Chief Business Development Officer, at jaime.gonzalez@healthplanalliance.org or 972-830-6355.
Documents
Presentation: Beyond claims: How to design a more member-centric COB process
During this panel-style webinar, Cotiviti payment leaders explain how to optimize your COB process to account for variable member life events to help ensure proper COB determinations.
Recording: Beyond claims: How to design a more member-centric COB process
In this panel-style video presentation, Cotiviti payment leaders explain how to optimize your COB process to account for variable member life events to help ensure proper COB determinations.
Attendees
Below is a list of all delegates registered to date for this event
- Annie Briggs-Sweeney
- ALLIANCE MEMBER
- Claims Director at SelectHealth
- Lynn Csakany
- ALLIANCE MEMBER
- Manager, Coordination of Benefits and Claim Testing at Capital District Physicians' Health Plan (CDPHP)
- pamela garcia
- ALLIANCE MEMBER
- claims manager at Presbyterian Health Plan
- Karen Hoffmann
- ALLIANCE MEMBER
- Director of Operations at Medical Associates Health Plans
- Don Hufford
- ALLIANCE MEMBER
- Innovation Strategist at Western Health Advantage
- Tedi Jorgensen
- ALLIANCE MEMBER
- Medicare Advantage Part D Coordination of Benefits at SelectHealth
- Dustin Knotts
- ALLIANCE MEMBER
- Director, Claims & Network Operations at IU Health Plans
- Joby Kolsun
- ALLIANCE MEMBER
- medical director at AvMed
- Cynthia Major
- ALLIANCE MEMBER
- Director, Claims at Cox HealthPlans
- Sandra Nary
- ALLIANCE MEMBER
- Clinical Auditor at Neighborhood Health Plan of Rhode Island
- Rosalinda Saldana
- ALLIANCE MEMBER
- Supervisor at Presbyterian Health Plan
- Amber Smits
- ALLIANCE MEMBER
- Health Equity and Quality Revenue Program Manager at Network Health
- Inez Valdez
- ALLIANCE MEMBER
- VHP Member Services Supervisor at Valley Health Plan
- Bhargavi Vemuri
- ALLIANCE MEMBER
- Manager, Claims Quality & HCC Operations at IU Health Plans
- Heather Walters
- ALLIANCE MEMBER
- Manager at Health Alliance Plan (HAP)
- Tonya Wiegert
- ALLIANCE MEMBER
- Sr. Director, Claim Operations and Provider Enrollment at Quartz Health Solutions
- Stephanie Wiegman
- ALLIANCE MEMBER
- Customer Experience Coordinator at Samaritan Health Plans
- Tami Wlajnitz
- ALLIANCE MEMBER
- Director, Appeals, Complaints, and Grievances at Johns Hopkins Health Plans
- Derinda Burns
- SPONSOR
- Manager of Audit Operations and Coordination of Benefits at Cotiviti, Inc.
- Naomi Murphy
- SPONSOR
- Senior Vice President, Coordination of Benefits and Data Mining at Cotiviti, Inc.
Speakers
- Derinda Burns
Manager of Audit Operations and Coordination of Benefits at Cotiviti, Inc.
click here for full people profile
- Naomi Murphy
Senior Vice President, Coordination of Benefits and Data Mining at Cotiviti, Inc.
click here for full people profile