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

A contract dispute between Austin (Texas) Regional Clinic and UnitedHealthcare will leave about 5,000 patients with UnitedHealthcare AARP Medicare Advantage plans searching for new physicians or new ...

Optum has introduced Optum Real, a real-time AI claims system that offers faster reimbursement by connecting payers and providers in real time. Optum Real provides instant coverage validation through ...

Health Insurance Claim: Frequent delays in insurance claim approvals at the time of hospital discharge have become a major source of frustration for patients. Despite completing their treatment, many ...

Every healthcare provider, pharmacist and patient in the U.S. dreads saying or hearing the words, “You’ll need prior authorization for that.” Prior authorization is a bottleneck that slows down care, ...

Electronic health record companies continue to roll out artificial intelligence tools and capabilities, with new features designed to expand patient access, reduce friction in claims processing, ...

Almost all health-insurance claim denials go uncontested, but an AI solution is like 'TurboTax for appeals,' one company's expert said The appeal process for health-insurance claims denials is ...