With rising claim denial rates posing a continuous threat to the financial stability of medical practices, the need for efficient claim processing has never been more critical. According to a poll ...

UnitedHealth Group (NYSE:UNH) is piloting a new AI-powered medical claims processing system, according to a Bloomberg report. The system, called Optum Real, translates complex health plan rules into ...

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 ...

In a disturbing sign of the times, Medicare this week implemented a change to its claims-processing system that adds two extra digits to money amounts, expanding the fields from eight digits to 10.

When catastrophic weather hits or your insurance portfolio suddenly doubles, claims teams often feel the strain. Outdated systems buckle under pressure, cycle times stretch out, and claimants grow ...

LAS VEGAS, Nev.—Optum is rolling out a new, artificial-intelligence-powered system that aims to make the claims processing experience work more efficiently. The company unveiled Optum Real as part of ...

Forbes contributors publish independent expert analyses and insights. I delve into the intricate workings of artificial intelligence. When an individual files a medical insurance claim, they expect ...

CMS has released a request for information seeking input on replacing its Medicare claims processing system with a real-time, cloud-based platform. Under the program, called ClaimsCore, CMS is seeking ...

In today’s dynamic insurance environment, the integration of Customer Relationship Management (CRM) systems with claims management software is transforming operational efficiency. This synergy not ...

Bacancy Technology has helped BeatCare Insurance harness AI-driven automation, OCR, and cloud integration while adding to the claims management system. At Bacancy, we aim to use innovation and AI to ...

The Veterans Affairs Office of Inspector General reports the Veterans Health Administration’s Chief Business Office violated appropriations laws by using funds dedicated to medical support and ...