Imagenet Resources
Stay Ahead of the Curve: Your Source for the Latest News, Alerts, and Market Insights
Filter By Resource Type:
Imagenet Achieves HITRUST i1 Certification to Manage Data Protection and Mitigate Cybersecurity Threats
Imagenet’s Digital Mailroom has earned HITRUST i1 Certification, validating that it meets rigorous security standards to protect sensitive healthcare data and mitigate cybersecurity threats.
The Biggest Mistake Health Plans Make in CMS MSP & COB Management
Many health plans mishandle CMS MSP & COB data—leading to compliance issues, payment delays, and member dissatisfaction. Learn how to get it right.
Why Enrollment Data Could Be the Crack in Your Health Plan’s Foundation
Inaccurate enrollment data can put health plans at compliance risk. Learn how operational governance and timely reconciliation safeguard member trust.
CMS CY2026 ANOC/EOC Model Updates: What Health Plans Need to Know
CMS made key updates and issued 12 corrections to 2026 ANOC/EOC models. Learn what changed and how health plans can adapt workflows and reduce risk ahead of the next cycle.
Infographic: 4 CMS Reconciliation Pitfalls Costing Health Plans Time, Money, and Members
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.
Operational Alignment in the Spotlight: Imagenet to Present at Medicare Advantage Leadership Summit
Imagenet announces Sesha Mudunuri, Chief Operating Officer, and Julie Kendall Hughes, Chief Compliance and Consultancy Officer, will take the stage at the Fourth Annual Medicare Advantage Leadership Innovations East event.
What Health Plans Really Want: Key Conversations from AHIP 2025
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 Expands Claims Bench with Addition of Industry Leader Malcolm Smith
Imagenet announces Malcolm Smith as Vice President of Claims, strengthening its leadership in fast, accurate, and cost-efficient claims processing for healthcare payers.
CMS to Expand RADV Audits Across All Medicare Advantage Plans: What Health Plans Need to Know
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.
The Hidden Costs of Claims Processing Errors – And How to Fix Them
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?
11 Reasons Why a Digital Mailroom Is About Much More Than Paper Claims to EDI
Digital mailroom isn’t just about going paperless. It’s about making smarter, faster, and more compliant decisions at every stage of operations.
Digital Mailroom Cuts Claims Turnaround from 5+ Days to 48 Hours
How Imagenet helped a public, not-for-profit health plan reduce paper claims turnaround from 5+ days to 48 hours.
Health Plan Cuts Wait Times 10x with Contact Center Support
How Imagenet transformed a not-for-profit health plan’s contact center to scale operations & cut wait times by 10x.
Channel Partner Clears 3-Year Claims Backlog with Imagenet
How Imagenet helped a channel partner solve a major claims challenge for a government payer.
Streamlined Print & Fulfillment for CMS Compliance
How Imagenet helped a Pacific Northwest health plan streamline print and fulfillment workflows—ensuring CMS compliance and enhancing member experience.
From Inconsistent to Integrated
How Imagenet helped a leading Puerto Rico-based health plan serving 117,000+ Medicare Advantage members streamline benefits communications and reduce compliance risk.
From Backlog to Breakthrough
How Imagenet helped a major public health plan scale claims processing by 12.5x.
Why Medicare and Medi-Cal Plans Must Take a Harder Look at CMS Data Reconciliation
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.
Infographic: How a Digital Mailroom Works
A visual guide to how digital mailrooms capture, classify, and route incoming mail for faster, more efficient processing. Learn how intelligent document processing replaces manual mail handling with speed and accuracy.
What CX Really Means in Health Plan Call Centers – And Beyond the Phones
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…
