Artificial intelligence could rework the claims and reimbursement process, allowing faster decision-making, reduced errors ...

UnitedHealth Group (NYSE:UNH) is piloting a new AI-powered medical claims processing system, according to a Bloomberg report. The system, called Optum Real, translates complex health plan rules into ...

After almost a month of strife for pharmacists and their patients, Vermont’s Medicaid pharmacy claims processing system is up and running again as of March 18. The outage occurred on Feb. 21 after a ...

In particular, it is an object of the present invention to provide a digital claims processing system and a method thereof that improve data accessibility and data quality for data sets relevant for ...

Commercial insurers denied roughly one out of every five claims submitted in 2024, with administrative issues driving a large ...

LAS VEGAS, Nev.—Optum is rolling out a new, artificial-intelligence-powered system that aims to make the claims processing experience work more efficiently. The company unveiled Optum Real as part of ...

The Centers for Medicare and Medicaid Services plans to issue a request for proposals in early November to update and maintain its medical claims processing system ...

CMS has released a request for information seeking input on replacing its Medicare claims processing system with a real-time, cloud-based platform. Under the program, called ClaimsCore, CMS is seeking ...

Information technology solution developer Samsung SDS plans to roll out a blockchain-based medical claims processing system later this month, according to CoinDesk. At a blockchain conference, Samsung ...

The Veterans Affairs Office of Inspector General reports the Veterans Health Administration’s Chief Business Office violated appropriations laws by using funds dedicated to medical support and ...

The Centers for Medicare and Medicaid Services plans to modernize the claims system that contractors use to process and perform payment for hospitals that provide inpatient and outpatient services to ...