Providers know instantly what’s covered, payers receive more comprehensive claims and patients know their coverage before ...

Optum is rolling out a new, artificial-intelligence-powered system that aims to make the claims processing experience work more efficiently. | LAS VEGAS—Optum is rolling out a new, AI-powered system ...

Optum Real allows providers to receive information about patients’ health benefits in real time, the company said.

UnitedHealth Group (NYSE:UNH) is piloting a new AI-powered medical claims processing system, according to a Bloomberg report.

Beneficiaries enrolling in Medicare face acute financial and service uncertainties. An extended federal shutdown could ...

Healthcare technology company Hyphen is aiming to bring social-needs-related organizations into the payment ecosystem with its new platform. The company is launching a new Social Care Claims ...

INDIANAPOLIS--(BUSINESS WIRE)--Hospitals, health systems and medical practices are beginning to feel the financial impact of a cyberattack on a widely used payment processor, as proprietary Kodiak ...

GERMANTOWN, Wis.--(BUSINESS WIRE)--VBA, a leading technology company for healthcare payers, has developed and implemented a claims adjudication engine that allows healthcare payers to process claims ...

The Centers for Medicare & Medicaid Services Oct. 21 announced that it has instructed all Medicare Administrative Contractors to lift a hold and begin processing claims dated Oct. 1 and later for ...

Nebraska insurance regulators have imposed a $1 million penalty against Bloomington-based Bright Health over alleged errors with claims processing, including more than 100 cases of denied coverage for ...

Jan. 27—Geisinger denied certain insurance claims it should have paid, primarily for mental health and substance use disorder services, the Pennsylvania Insurance Department found. Acting Insurance ...

Hospitals, health systems and medical practices are beginning to feel the financial impact of a cyberattack on a widely used payment processor, as proprietary Kodiak Solutions data show that claims to ...