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

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

By combining claims, EHR and demographic data, machine learning models can anticipate when a member is likely to experience a ...

From the column: "The system isn’t designed to protect sick people. It’s designed to process healthy people’s premiums while ...

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

A state appeals court dismissed claims Tuesday that health officials rigged the contracting process for New York's $11 ...

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

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

We explore the gap between client expectations on vet costs and the reality of care, and the complicated role of pet ...

WASHINGTON — With the government shut down, Republicans are centering their message on a simple argument: “Democrats are grinding America to a halt in order to give illegal immigrants free health care ...

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 ...

City workers are suing Mayor Eric Adams’ administration over its plan to change their health insurance, claiming that the ...