What is a potential result of inefficient claims processing?

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Inefficient claims processing can lead to delayed payments to healthcare providers and policyholders. When the processing of claims takes longer than expected due to inefficiencies, it can create a backlog of claims that are yet to be reviewed, assessed, or paid out. This can result in healthcare providers facing cash flow issues since they rely on timely payments to operate. For policyholders, delays can mean waiting longer for reimbursements or assistance, which can cause frustration and uncertainty about their coverage. The ramifications of such inefficiencies can undermine the trust between insurance companies and their clients, potentially leading to a ripple effect of negative outcomes in patient care and satisfaction.

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