An Iowa company that helps state and federal agencies with taxpayer-financed health care improvement programs is being sued ...

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

A state appeals court dismissed claims Tuesday that health officials rigged the contracting process for New York's $11 ...

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

Discover how UnitedHealth's AI system, Optum Real, is reducing claim denials and paperwork, speeding care with real-time ...

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.

After two failed appeals and endless phone calls with her doctor and insurer, Reisen learned about Counterforce Health, a company that uses AI to help patients craft informed appeal letters to fight ...

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 ...

Employer-based health insurance plans are expected to rise again for 2026. Here's what's behind the high costs.

Nearly as many migrants have died in detention so far this year than over the four years of the Biden administration.

"Making it easier and less costly for insurers to deny claims, or for patients to file potentially dubious claims, could further gum up an already overloaded system rather than smoothing out the ...

Plus: CMS is shifting money around to bring back workers furloughed by the shutdown to help with open enrollment.