Discover 4 costly CMS reconciliation pitfalls health plans face in MSP and COB processes—from data delays to audit risk—and how automation can solve them.

Imagenet announces Sesha Mudunuri, Chief Operating Officer, and Julie Kendall Hughes Hughes, Chief Compliance and Consultancy Officer, will take the stage at the Fourth Annual Medicare Advantage Leadership Innovations East event.

What are health plans really asking for in 2025? At AHIP this year, leaders across the industry shared unfiltered insights on the challenges they’re facing and what they expect from vendors. From digital operations and AI skepticism to the evolving complexity of member experience, here are three conversations that reveal what payers actually want—and how solution partners can rise to meet the moment.

Imagenet announces Malcolm Smith as Vice President of Claims, strengthening its leadership in fast, accurate, and cost-efficient claims processing for healthcare payers.

CMS is dramatically expanding its Risk Adjustment Data Validation (RADV) audits—scaling from 60 plans per year to over 550. With tighter timelines, AI-driven scrutiny, and larger record samples, here’s how health plans should prepare.

Claims processing may not always make headlines, but its impact on a payer’s bottom line, compliance posture, and reputation with members and providers is massive. Billions are lost each year due to denials, rework, and delayed reimbursements. How can payers mitigate these risks?

Digital mailroom isn’t just about going paperless. It’s about making smarter, faster, and more compliant decisions at every stage of operations.

How Imagenet helped a major public health plan scale claims processing by 12.5x.

CMS data reconciliation is more than a technical process—it’s a strategic necessity for Medicare and Medi-Cal plans. Learn how to reduce audit risk, recover revenue, and protect the member experience.

In healthcare, “CX” — customer experience — is often viewed through a narrow lens. Too often, CX is reduced to a handful of familiar metrics: Average Handle Time (AHT), First Call Resolution (FCR), or Net Promoter Score (NPS). But in an increasingly complex payer environment, these alone don’t capture the full picture of how a member experiences your brand…

Imagenet and CODY Consulting Group leaders to present at the California Association of Health Plans Medicare Seminar on CMS data reconciliation for Medicare Advantage plans.

Paper claims are still alive and well. Read our latest white paper to learn how your health plan can unlock the power of a digital mailroom.

Read our latest case study to learn how Imagenet’s agile approach and advanced technology helped RAM regain stability and improve performance beyond its previous setup.

Imagenet, a leading digital mailroom, claims adjudication, contact center, and Print-to-EDI (P2E) solutions partner to health plans and managed care organizations for more than two decades, today announced the acquisition of CODY, which provides proprietary software, outsourced services, and consulting solutions for member communications and compliance to 71 health plans.