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

UnitedHealth Group (NYSE:UNH) is piloting a new AI-powered medical claims processing system, according to a Bloomberg report.

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

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

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 care spending represents nearly $5 trillion of the United States economy, making it a prime target for scammers.

Claim denials are rising due to data inaccuracies, staffing shortages, and outdated technology, with 41% of providers experiencing denial rates of 10% or higher.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

Health tech startup Capital Rx raised money to fuel its growth from pharmacy benefit management to broader medical claims processing as the company aims to help employers and insurance companies ...

Expertise from Forbes Councils members, operated under license. Opinions expressed are those of the author. Ask a healthcare executive what AI is doing for the industry today, and you're likely to ...

AI-driven claims processing in healthcare is evolving from pilot projects to mainstream adoption. Explore the impact of ...

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

More AI companies are producing tools to help automate the revenue cycle, one of the most expensive and complicated departments of a hospital. These tools have demonstrated promise in collections, but ...