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 ...

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 ...

The burden is being put on them to find in-network providers who meet their needs and they can’t,” said psychologist Melissa Todd, PhD. For many people seeking mental health care, that frustration ...

Claim denials are rising due to data inaccuracies, staffing shortages, and outdated technology, with 41% of providers experiencing denial rates of 10% or higher.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

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 ...

Optum launched an artificial intelligence-backed system Tuesday that aims to speed and simplify the medical claims and reimbursement process. The tool, called Optum Real, allows providers to message ...

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 is revolutionizing healthcare by improving diagnostics, reducing clinician workload, and enhancing care access, ...

The Michigan Department of Insurance and Financial Services announced that more Michiganders are appealing health insurance claim denials under the Patient's Right to Independent Review Act. "When a ...

The New York Health Information Privacy Act (NYHIPA), passed by the New York State Legislature on January 22 as Senate Bill S929, is a comprehensive health data ...