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

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.

UnitedHealth Group Inc. is testing a new system to streamline how medical claims are processed, an early example of what the company says is the potential for AI to smooth out friction in billing.

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 ...

Claim denials are rising due to data inaccuracies, staffing shortages, and outdated technology, with 41% of providers experiencing denial rates of 10% or higher. Economic pressures and declining ...

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

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 ...

AI-driven claims processing in healthcare is evolving from pilot projects to mainstream adoption. Explore the impact of ...

Months after the killing of a top health insurance executive unleashed Americans’ pent-up anger over denials of medical care, the industry announced Monday that it will take action to “streamline, ...