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 claims processing is being redefined as AI, automation, and integrated platforms replace slow, error-prone manual workflows. These innovations are cutting denial rates, accelerating ...

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.

Ask a healthcare executive what AI is doing for the industry today, and you're likely to hear headline-grabbing use cases: drug discovery, personalized primary care, chatbot triage, AI-enabled therapy ...

Claim denials are rising due to data inaccuracies, staffing shortages, and outdated technology, with 41% of providers experiencing denial rates of 10% or higher.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

Artificial intelligence is increasingly used by insurance companies to make decisions on claims for home repairs and medical procedures. Florida is one of 22 states without specific rules or guidance ...

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 ...

Months after the killing of a top health insurance executive unleashed Americans’ pent-up anger over denials of medical care, the industry announced Monday that it will take action to “streamline, ...

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 ...

Care begins moving forward as soon as the visit ends. But often that is only the beginning of the story. Days or weeks later, ...