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Injury-related claims often account for a small percentage of a hospital's total claim volume while consuming a disproportionate portion of their staffing resources.

Insurance companies and other third-party payers are incentivized to reduce costs by disallowing payment for a variety of self-serving reasons. Many hospitals end up taking write-offs on collectable accounts because they lack the in-house processing expertise.

Furthermore, it is extremely challenging for hospitals to stay current with the laws and complicated reimbursement fee schedules that differ from state to state.

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The Challenge

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