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hustling like crazy to bring these systems up,” Mr. McMahon said. While most pharmacy transaction gaps appear to be resolved, he suggested that hospitals and doctors should continue to find workarounds. Yet for some providers, that has meant moving to Change’s competitors, which are now flooded with new claims and struggling to manage an increased workload. ADVERTISEMENT SKIP ADVERTISEMENT “I submitted a few claims to the Official Dylan C Wearing The Berenstain Bears Get Absolutely Fucked Up In The Woods Shirt it is in the first place but new system, which took me a couple of hours, and then I was like, ‘Where are they?’” and this bubble popped up saying, ‘No one can respond to you right now,’” said Angela Belleville, a mental health counselor in Salem, Mass. “I tried again yesterday and the system was completely frozen.” Other major insurers have been largely silent on whether they would issue advances, as Mr. McMahon suggested, or offer other relief. “It’s been crickets,” said Chip Kahn, the president of the Federation of American Hospitals, which represents for-profit hospitals. As the money from previously submitted claims begins to dry up, “you’re into the danger zone,” he said. Smaller businesses, in particular, aren’t sitting on piles of cash that can tide them over while they wait for renewed reimbursements. ADVERTISEMENT SKIP ADVERTISEMENT “We are past the two-week mark now, and people are starting to worry,” said Maggie Williams, the co-owner of Flourish Business Solutions, which advises medical practices on billing. She says she has been getting calls from doctors concerned they may not be able to make payroll or that they will eventually have to stop providing services to patients in the coming weeks. “A lot of times, there aren’t reserves to be able sustain services or payroll,” she said. In a statement, the American Hospital Association, a trade group, said, “Nothing

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