Providers know instantly what’s covered, payers receive more comprehensive claims and patients know their coverage before ...

Optum Real allows providers to receive information about patients’ health benefits in real time, the company said.

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 ...

Healthcare organizations have a fundamental obligation to ensure that patients get the best possible care. No matter what type of treatment they deliver, healthcare providers must also ensure that ...

Claim denials are rising due to data inaccuracies, staffing shortages, and outdated technology, with 41% of providers experiencing denial rates of 10% or higher.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 Centers for Medicare & Medicaid Services Oct. 21 announced that it has instructed all Medicare Administrative Contractors to lift a hold and begin processing claims dated Oct. 1 and later for ...

Health tech startup Capital Rx raised money to fuel its growth from pharmacy benefit management to broader medical claims processing as the company aims to help employers and insurance companies ...

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 ...

A new report from the country's two leading insurance industry organizations alleges providers are "flooding" the No ...

More AI companies are producing tools to help automate the revenue cycle, one of the most expensive and complicated departments of a hospital. These tools have demonstrated promise in collections, but ...

AI-driven claims processing in healthcare is evolving from pilot projects to mainstream adoption. Explore the impact of ...

Expertise from Forbes Councils members, operated under license. Opinions expressed are those of the author. Ask a healthcare executive what AI is doing for the industry today, and you're likely to ...