The Democrats’ government shutdown is limiting services for veterans and making life miserable for VA employees, and things ...

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

Delays of 10 days or more hamper payments to hospitals and other health care providers from the federal government programs ...

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

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 ...

Claim denials are rising due to data inaccuracies, staffing shortages, and outdated technology, with 41% of providers experiencing denial rates of 10% or higher.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

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

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

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 ...

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 ...

In an era of technology-driven workflows and automated claims processes, most healthcare providers are skilled at billing traditional claims that require minimal manual touches. In contrast, motor ...