In particular, it is an object of the present invention to provide a digital claims processing system and a method thereof that improve data accessibility and data quality for data sets relevant for ...

“Medical claims submission and processing involves many complex steps to move from initiating claims preparation to receiving payment and involves numerous entities and databases. Claim verification, ...

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 ...

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 ...

This story was updated with comment from VA late Wednesday. The Veterans Benefits Administration sent out a message Tuesday directing some of its regional offices to stop using the paperless Veterans ...

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 ...

NEW YORK, Feb. 10, 2025 /PRNewswire/ -- Capital Rx, Inc., the enterprise health technology company and benefit administrator advancing our nation's electronic healthcare infrastructure, is announcing ...

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 Outdated systems buckle under pressure, cycle times stretch out, and claimants grow ...

Ten health systems invest in Capital Rx's backend claims processing platform Cloud platform JUDI drives savings for plan sponsors by providing patients with the lowest available drug prices, company ...

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 ...

After almost a month of strife for pharmacists and their patients, Vermont’s Medicaid pharmacy claims processing system is up and running again as of March 18. The outage occurred on Feb. 21 after a ...

Britam General Insurance has launched a new drive‑through service that uses AI to assess car damage and pay motor insurance claims in just two hours. This is a significant improvement over the usual ...