“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, ...

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.

Claims processing can be a very time-consuming and complicated job. As recovery audit contractors scrutinize claims more closely, it is essential to have accurate documents. Sal Novin, CEO of ...

Oracle launches Oracle Health Clinical Data Exchange to automate medical claims and enhance provider-payer data sharing. Built on Oracle Cloud Infrastructure, it reduces administrative costs, improves ...

Oracle Health launched a new cloud-based solution designed to streamline medical claims processing. “Healthcare has long been plagued by costly, time-intensive, and antiquated claims processing that ...

Jan. 27—Geisinger denied certain insurance claims it should have paid, primarily for mental health and substance use disorder services, the Pennsylvania Insurance Department found. Acting Insurance ...

Mastercard has announced a medical claims payment partnership in India using its virtual card technology. Mastercard has teamed with financial institutions and Remedinet, a cloud-based health tech ...

Collaboration will bring Verisk’s data analytics and generative artificial intelligence capabilities to Jopari’s suite of solutions for medical providers and payers CONCORD, Calif.--(BUSINESS WIRE)-- ...

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 ...

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 ...