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.

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

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 ...

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 ...

We’ve heard it all before. Global supply chain issues are impacting____. You can fill in the blank with just about any industry. Semiconductor chips quality control, retail and pharma inventory ...

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 ...

Frequent delays in insurance claim approvals at the time of hospital discharge have become a major source of frustration for ...

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 Veterans Affairs disability claims backlog has dropped by almost 25% in the last four months, indicating that hiring and overtime efforts are making a significant dent in the pending workload, ...