While the word "healthcare" can be heard everywhere these days, how exactly do healthcare organizations achieve their goals of improving patient care and ensuring profitability? One of the most ...

Medical service providers are responsible for billing insurance companies for their patients’ services and procedures. To do so, they must file medical claims as part of the medical billing process.

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 ...

Puneet Maheshwari is the senior vice president and general manager for Optum Real at Optum. On any given weekday morning, care providers nationwide sit staring at computer screens, navigating and ...

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 ...

Healthcare organizations have a fundamental obligation to ensure that patients get the best possible care. No matter what type of treatment they deliver, healthcare providers must also ensure that ...

Claim denials are rising due to data inaccuracies, staffing shortages, and outdated technology, with 41% of providers experiencing denial rates of 10% or higher.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 ...

As states strive to curb health insurers' use of artificial intelligence, patients and doctors are arming themselves with AI tools to fight claims denials, prior authorizations and soaring medical ...

The emergency rooms are easily the busiest at any given time in hospitals. Nurses rush between patients, doctors make split-second decisions, and somewhere in the background, a digital system quietly ...

NHA CEO Dr Sunil Kumar Barnwal highlighted the role of the National Health Claims Exchange in simplifying health insurance ...

VIRGINIA BEACH, Va. (WAVY) — Recent changes to the claims process for Tricare, the health insurance program for military members and their families, has impacted mental health clinics in Hampton Roads ...

The Department of Veterans Affairs processed over 2 million disability claims in 2025, breaking records for speed. Average processing time dropped to 132 days, down from 141 days at the start of the ...