Integrating Nym AI requires a clear plan that looks at both the technology and the people involved. By assessing current ...

The new director of Arizona's Medicaid program vows to tackle fraudulent billing and improve healthcare access.

Hospitals may once again submit claims that were previously denied due to late filing to the Philippine Health Insurance Corp ...

More than 30 organizations, including AdvaMed and the American Clinical Laboratory Association, are pushing for a permanent ...

The Philippine Health Insurance Corporation (PhilHealth) announced its release of over P217.93 B in total benefit claims to ...

Tennessee-based health system Ballad Health is suing healthcare giant UnitedHealth Group, alleging the insurer routinely denies or delays care physicians deemed necessary. The health system said in a ...

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 ...

Tennessee health system Ballad Health is suing UnitedHealthcare, alleging the insurer “systematically abused and manipulated the taxpayer-funded Medicare Advantage Program.” The health system claims ...

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 ...

Alderperson Jessie Fuentes, who represents the city's 26th Ward, has filed a federal claim against the government for damages after she was arrested by a federal agent at Humboldt Health Hospital ...