Optum has introduced Optum Real, a real-time AI claims system that offers faster reimbursement by connecting payers and providers in real time. Optum Real provides instant coverage validation through ...

The VA is processing claims faster than ever. The backlog is the lowest it's been in years. And your 2024 medical records are ...

Ahead of HIMSS26, Sairohith Thummarakoti of Texas A&M University–Kingsville previews his talk on how agentic AI and low-code ...

Claim scrubbing is the process of verifying that a medical claim's codes are accurate. Learn how code scrubbing works and ...

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 ...

KNOXVILLE, Tenn. — The University of Tennessee Research Foundation's Accelerate Fund is investing $150,000 in an artificial intelligence startup for processing health care claims. The startup, ...

Claim denials are rising due to data inaccuracies, staffing shortages, and outdated technology, with 41% of providers experiencing denial rates of 10% or higher.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

Claims processing can be a very time-consuming and complicated job. As recovery audit contractors scrutinize claims more closely, it is essential to have accurate documents. Sal Novin, CEO of ...

The targeted killing of UnitedHealthcare CEO Brian Thompson in December became a turning point in the public's growing frustration with the health insurance industry. People began sharing stories ...

A new report released jointly by AHIP and the Blue Cross Blue Shield Association estimates that up to 39% of out-of-network claims submitted to the federal independent dispute resolution (IDR) process ...

Health insurance has become necessary, with large and unpredictable health care costs always looming before each of us. Unfortunately, the majority of people have experienced problems when using their ...