UnitedHealth Group Inc. is testing a new system to streamline how medical claims are processed, an early example of what the ...

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

EHRs are a vital way to automate and streamline the healthcare process, but implementation can be challenging. Learn how to ...

After four years, federal price transparency rules have revealed a meaningful number of prices. But they’ve revealed ...

PMG Credentialing, Inc., a national leader in credentialing and enrollment services for healthcare organizations, today ...

Insights from 1,300+ therapists highlight the trends, challenges, and innovations shaping the next era of care.

In recent years, AI has amplified this imbalance. Major insurers have turned to AI tools that scan medical records, apply coverage rules and generate denial letters in bulk. Investigations have found ...

The Wyoming health system accused Change Healthcare of breach of contract for failing to timely file claims to payers.

Star Valley Health is suing the company that runs its billing services, seeking more than $2.5 million in damages.