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 ...

Healthcare claims processing is rife with inefficiencies and financial strains marked by operational bottlenecks, rising denial rates and increasing administrative burdens faced by providers, ...

The regulator has found that the insurer failed to provide proper reasons for claim repudiation or for paying a reduced ...

Providers’ struggles with claims denials have worsened compared with two years ago, according to Experian Health’s 2024 State of Claims survey released on Tuesday. Prior authorizations and missing or ...

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, ...

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 ...

Oracle launches Oracle Health Clinical Data Exchange to automate medical claims and enhance provider-payer data sharing. Built on Oracle Cloud Infrastructure, it reduces administrative costs, improves ...

Claim denials are rising due to data inaccuracies, staffing shortages, and outdated technology, with 41% of providers experiencing denial rates of 10% or higher.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

Many Americans who expect insurers to cover their treatments or procedures end up being denied vital care. Americans, many of whom harbor long-simmering anger over our health care system, vocalized ...

Insurance watchdog, the Insurance Regulatory and Development Authority of India (IRDAI), has slapped a hefty Rs 1 crore fine ...