For health insurance providers, there’s a high premium to be paid for inadequate compliance programs. And while complying with any number of rules and regulations presents significant challenges, one area that’s grown increasingly intricate over the past few years is sanctions screening. Now, more than ever, providers must ensure the legitimacy of members before providing coverage or reimbursing claims. “Due to the dynamic global climate, it has become imperative to be able to view those individuals with whom the federal government requires us not to do business with,” says LeeAnn Ellison, Medicare liaison for Blue Cross Blue Shield Nebraska. “Tougher, ever-changing criteria must be met at a moment’s notice.” Health insurance providers must comply with know your customer (KYC) rule

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