We have been monitoring cases of glosses from 30% to 40% of the entire volume served in various parts of Brazil. One of the largest supplementary health operators in the country has imposed the use of a token to confirm requests for consultations and exams with the justification of promoting more security, technology and transparency, allowing beneficiaries to confirm … Continue lendo
Before the TISS (Supplementary Health Information Exchange) standard, it was very difficult and financially unfeasible to reconcile exam by exam, payment statements and disallowances. Starting with the simple fact that many operators did not provide this type of information or, when they sent it, the information was not complete, thus making conciliation impossible without some … Continue lendo
The TISS Standard (Exchange of Information on Supplementary Health) of the National Supplementary Health Agency (ANS) has completed more than ten years, but it is worth recalling some very important points, which many operators have not followed, but which are fundamental to the clinics. In the first versions of the TISS 1.0 and 2.0 standards, the … Continue lendo
