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 ...
Starting January 1, 2026, California Assembly Bill 3275 (AB 3275) will go into effect, introducing shorter claim reimbursement timelines for health care service plans and health insurers operating in ...
Healthcare claims processing is rife with inefficiencies and financial strains marked by operational bottlenecks, rising denial rates and increasing administrative burdens faced by providers, ...
Providers’ struggles with claims denials have worsened compared with two years ago, according to Experian Health’s 2024 State of Claims survey released on Tuesday. Prior authorizations and missing or ...
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 ...
Health insurers have used AI to make decisions on medical claims. Now, patients are using the technology to fight denials.
With all the hype around AI, business partners and legal professionals are scrambling to understand, adapt, and possibly implement the rapidly changing technology. From a business perspective, the ...
Claim denials are rising due to data inaccuracies, staffing shortages, and outdated technology, with 41% of providers experiencing denial rates of 10% or higher.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 targeted killing of UnitedHealthcare CEO Brian Thompson in December became a turning point in the public's growing frustration with the health insurance industry. People began sharing stories ...
LARGEST BREACHES OF MEDICAL RECORDS IN HISTORY. THIS LETTER INVOLVES A RANSOMWARE ATTACK ON CHANGE HEALTH CARE, ONE OF THE LARGEST HEALTH PAYMENT PROCESSING COMPANIES IN THE WORLD, WHICH PROCESSES ...
Don't rush to pay out of pocket if your health insurance denies a test, treatment, or medication your doctor says you need. Consumer Reports says you have a guaranteed right to appeal that decision— ...
PhilHealth Regional Office VII, through its Health Care Delivery Management Division, recently held a two-day retooling activity titled “ReachOut Forward: Strengthening Our Partners in Health.” ...
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