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Waste

June 15, 2022 By SmartLight News Desk

High volume of small errors can add up to millions in waste for your health plan

The process of paying a medical claim involves multiple stages with built-in checks and balances. Yet because the process used by claims administrators is …

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May 23, 2022 By SmartLight News Desk

City of Fort Worth prevents $1.7 million in fraudulent pharmacy payments

FORT WORTH, TX – In its work to reduce the cost of employee health care claims, the City of Fort Worth has excluded 24 suspect pharmacies from billing its plan, …

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January 5, 2022 By Franklin Baumann, MD

Do all physicians have a medical degree?

Employers aiming to reduce health care plan costs could go back to the dictionary when it comes to their summary plan descriptions. From reviews of …

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Plano, TX 75093
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Fax: 214-501-1208

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SmartLight Analytics combines the best inferential analytic models with a team of analytic  and clinical experts to find fraud, waste, and abuse in self-funded employer health care plan claims data.
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SmartLight Analytics has been named finalists in D CEO Magazine Excellence in Healthcare Awards 2020 for Outstanding Service Innovation.

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