As CMS moves to replace four legacy Medicare claims platforms, it is seeking a vendor to design one platform that would assume all the systems’ responsibilities.  In a Jan. 8 request for information, ...

The Internal Revenue Service is paying out more claims for the Employee Retention Credit program, even as it gives the claims greater scrutiny, and is moving the moratorium on processing new claims ...

Processing claims has historically been a laborious, error-prone process. And that has been the case for insurance firms and healthcare organizations—really any industry that is involved in processing ...

Dental claims are easier to deal with when the insurer’s process is clear from the start. With TATA AIG, policy terms are ...

Enterprise payer platforms remain the system of record as AI accelerates productivity and insight. AI does not replace ...

Secretary of Veterans Affairs Doug Collins testifies before his Senate Veterans Affairs committee confirmation hearing on Capitol Hill in Washington, DC on January 21. On Tuesday, Collins reported the ...

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 Internal Revenue Service announced on Sept. 14, 2023, an immediate moratorium on the processing of Employee Retention Credit (ERC) claims that is anticipated to last at least through the end of ...

Collaboration includes claims processing services and a co-created agentic AI-powered Third-Party Administrator solution for the P&C claims lifecycle The partnership will include an innovative, ...

GERMANTOWN, Wis.--(BUSINESS WIRE)--VBA, a leading technology company for healthcare payers, has developed and implemented a claims adjudication engine that allows healthcare payers to process claims ...

CLEARWATER, Fla.--(BUSINESS WIRE)--WLT Software, a leader in custom benefits and claims administration software, today announced that it will offer Intellivo’s subrogation services to WLT’s clients.

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, ...