One-third of health insurers did not meet the January 2014 mandate to support electronic funds transfer and electronic remittance advice transactions. And, about one-fifth of consumers have unpaid healthcare bills because of a confusing payment process.

Those are some of the insights in the fifth annual report on U.S. healthcare payment trends from claims clearinghouse InstaMed. The report vividly shows the payment pressures that providers are facing both from insurers and patients.

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