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.

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 ...

UnitedHealth stock has had a rocky year so far, but the healthcare juggernaut is betting that fundamental reforms, assisted ...

Claim denials are rising due to data inaccuracies, staffing shortages, and outdated technology, with 41% of providers experiencing denial rates of 10% or higher.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

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 ...

Reducing the cost of health care in the U.S. will require a basket of solutions ... suggesting a potential to reduce the extent of errors in claim processing," the researchers wrote.

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, ...

The nation’s major health insurers are promising to scale back and improve a widely despised practice that leads to care delays and complications. UnitedHealthcare, CVS Health's Aetna and dozens of ...

Insurance companies deny one in five medical claims for patients in New York, forcing individuals into lengthy appeals ...