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

Optum is rolling out a new, artificial-intelligence-powered system that aims to make the claims processing experience work more efficiently. | LAS VEGAS—Optum is rolling out a new, AI-powered system ...

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

Cigna has been in the hot seat over its use of automatic claims processing software since earlier this year, after a ProPublica investigation found Cigna physicians used PxDx to automatically reject ...

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

With rising claim denial rates posing a continuous threat to the financial stability of medical practices, the need for efficient claim processing has never been more critical. According to a poll ...

Beneficiaries enrolling in Medicare face acute financial and service uncertainties. An extended federal shutdown could ...

Portland, Ore — An email obtained exclusively by KATU sheds light on an internal Paid Leave Oregon policy prohibiting staff from processing claims when the claimant is on the phone. The email was ...

CHANGES WILL MAKE THE CLAIMS PROCESS A LITTLE EASIER. THE JOINT LEGISLATIVE FISCAL COMMITTEE VOTED TO THREE ON TUESDAY IN FAVOR OF THE NEW CLAIMS PROCESS FOR VICTIMS OF ALLEGED ABUSE AT NEW ...

The Florida Division of Administrative Hearings asked an appeals court to allow it to resume deciding disputes over Citizens ...