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8:30 AM - HIMSS Europe
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e-Health 2025 Conference and Tradeshow
2025-06-01 - 2025-06-03    
10:00 am - 5:00 pm
The 2025 e-Health Conference provides an exciting opportunity to hear from your peers and engage with MEDITECH.
HIMSS Europe
2025-06-10 - 2025-06-12    
8:30 am - 5:00 pm
Transforming Healthcare in Paris From June 10-12, 2025, the HIMSS European Health Conference & Exhibition will convene in Paris to bring together Europe’s foremost health [...]
38th World Congress on  Pharmacology
2025-06-23 - 2025-06-24    
11:00 am - 4:00 pm
About the Conference Conference Series cordially invites participants from around the world to attend the 38th World Congress on Pharmacology, scheduled for June 23-24, 2025 [...]
2025 Clinical Informatics Symposium
2025-06-24 - 2025-06-25    
11:00 am - 4:00 pm
Virtual Event June 24th - 25th Explore the agenda for MEDITECH's 2025 Clinical Informatics Symposium. Embrace the future of healthcare at MEDITECH’s 2025 Clinical Informatics [...]
International Healthcare Medical Device Exhibition
2025-06-25 - 2025-06-27    
8:30 am - 5:00 pm
Japan Health will gather over 400 innovative healthcare companies from Japan and overseas, offering a unique opportunity to experience cutting-edge solutions and connect directly with [...]
Electronic Medical Records Boot Camp
2025-06-30 - 2025-07-01    
10:30 am - 5:30 pm
The Electronic Medical Records Boot Camp is a two-day intensive boot camp of seminars and hands-on analytical sessions to provide an overview of electronic health [...]
Events on 2025-06-01
Events on 2025-06-10
HIMSS Europe
10 Jun 25
France
Events on 2025-06-23
38th World Congress on  Pharmacology
23 Jun 25
Paris, France
Events on 2025-06-24
Events on 2025-06-25
International Healthcare Medical Device Exhibition
25 Jun 25
Suminoe-Ku, Osaka 559-0034
Events on 2025-06-30

Events

Latest News Press Releases

Zane Networks, LLC Launches Offering to Improve Payment Integrity in Healthcare

Zane Networks
Zane Networks

Zane Networks, LLC Launches Offering to Improve Payment Integrity in Healthcare

WASHINGTON, D.C. – March 21, 2022 – Zane Networks, LLC, a leader in healthcare transformation services and solutions is launching a service offering to improve payment integrity and streamline the coordination of benefits (COB) processes for Medicaid and managed care plans.

Zane Networks developed the workflow framework and data quality standards necessary to integrate CAQH’s coordination of benefits product, COB Smart® for its customers. This allows for the identification of primary and secondary healthcare coverage before claims are paid – increasing payment accuracy while reducing the administrative costs associated with recovery. By collating, reconciling and analyzing data from CAQH and other sources, Zane Networks will help state agencies and health plan clients interpret coverage determinations to facilitate member research, enable plan-to-plan inquires, and track claims for faster coordination of benefits resolution.

“Payment integrity has become a multibillion-dollar problem for the U.S. healthcare system with improper payments nearly tripling over the past decade,” said Alexandra Jellerette, president of Zane Networks. “By providing crucial oversight that both confirms data quality and secures the privacy of that data, we are able to improve payment accuracy for our clients while reducing expenditures associated with member canvassing, claim reprocessing, data validation and recovery.”

“Medicaid plans must constantly maximize limited resources and meet their obligation to be the payer of last resort,” said Morgan Tackett, vice president of product management at CAQH. “With a database of more than 200 million covered lives from every large national health plan in the US, COB Smart is the most effective way for programs to meet these challenges, while ensuring that claims are paid accurately the first time.”

CAQH’s COB Smart provides weekly validated medical data overlaps at a 99.5% accuracy rate to ensure claims payment accuracy and to avoid the administrative costs involved with the resubmission of claims. The product improves the member experience by reducing the number of pends, denials, touchpoints, phone calls and letters – effectively taking them out of the coordination of benefits process. It also improves provider and member satisfaction by expediting eligibility and automating claims processes.

In late 2021, Zane Networks significantly enhanced the Coordination of Benefits program for a regional Medicaid agency – helping them to improve processes for their beneficiaries with overlapping coverage, while ensuring that all claims are paid correctly the first time.

To learn more about improving payment integrity in healthcare, contact Zane Networks at info@zanenetworks.com or 301-560-0500.
About Zane Networks, LLC

Zane Networks was founded in 2000 by Alexandra Jellerette, MA, and Luigi Leblanc, MPH as an Economically Disadvantaged Woman-Owned Small Business (EDWOSB) and Minority Business Enterprise (MBE). With over 20 years of unparalleled service and performance, Zane Networks has established partnerships with more than 24 government entities and provided unique services for over 500 healthcare practices, hospitals, and clinics. With direct technical support, coaching, and software development and implementation, Zane Networks equips customers with innovative health IT tools and health data. To learn more about Zane Networks, visit www.zanenetworks.com.

About CAQH

For more than 20 years, CAQH has helped nearly 1,000 health plans, 1.6 million providers, government entities and vendors connect, exchange information and operate more efficiently. CAQH technology-enabled solutions and its Committee on Operating Rules for Information Exchange (CORE) bring the healthcare industry together to make sharing business information more automated, predictable and consistent. CAQH Explorations researches opportunities to reduce the burden of manual processes in healthcare administration. Visit www.caqh.org and follow us on Twitter: @caqh.

Media Contact:
Lacy Herman
Anderson Interactive
727-478-9893
lacy@andersoni.com