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

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 ...

Add Yahoo as a preferred source to see more of our stories on Google. UnitedHealth Group is reporting progress on restoring systems impacted by a cyberattack last month that snarled pharmacies and ...

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 ...

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 ...

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

The city’s public hospital system will ramp up the rollout of its partnership with a new company to facilitate insurance payments in the wake of the ongoing Change Healthcare outage. New York City ...

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 ...

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 ...

“In some embodiments, the predictive analytics computing platform may be configured to receive, from a claims processing system, patient information corresponding to the medical claim, where the ...

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 for Medicare Part B, which covers ...