Care Beyond Code

1. Episode · Aug 5, 2026

   The Five Mountains of Healthcare Payments | Jessica Gerow, Zelis (opens the original)

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   Getting a payment digitally from point A to point B in healthcare is table stakes. But what happens in between? In this episode of Care Beyond Code, Adam sits down with Jessica Gerow, SVP & GM of Payments at Zelis, to explore how modernizing the financial healthcare experience is clearing up the fragmented "messy hair clump" of claims, payer portals, and paper checks. What you’ll learn: -- How a large health system handled a 40% growth in claims backlog with zero headcount increase. -- Why digit

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2. Episode · Aug 3, 2026

   We Overturned a Specialty Drug Denial (here's how) | Darci Roskelley, Direct Care Administrators (opens the original)

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   Imagine receiving a rapid cancer diagnosis, only to be told your critical specialty drug treatment isn't covered. In this episode of Care Beyond Code, we explore how one team turned a devastating denial into a fully covered path to recovery. Darci Roskelley, Director of Operations at Direct Care Administrators, joins the show to share a high-stakes impact story about navigating the complex healthcare administration system. She explains how a simple misclassification between pharmacy benefits and

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