The Fourth Machine
The claim arrived at 11:47 on a Tuesday, and there was nothing wrong with it. A coronary angioplasty at an empanelled district hospital. Eligibility verified, code consistent with the diagnosis, pre-authorisation valid, amount within the ceiling. Every box a rules engine knows how to tick was ticked. This is where most systems stop reading, and […]
We haven't written up this one. Daily Times has the full story — the link below goes straight to it.