The Centers for Medicare and Medicaid Services has opened the window for proposals from industry in pursuit of a potential eight-year contract to provide a new software system for processing and ...

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 ...

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 ...

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 ...

The Veterans Affairs Office of Inspector General reports the Veterans Health Administration’s Chief Business Office violated appropriations laws by using funds dedicated to medical support and ...

In a disturbing sign of the times, Medicare this week implemented a change to its claims-processing system that adds two extra digits to money amounts, expanding the fields from eight digits to 10.

Forbes contributors publish independent expert analyses and insights. I delve into the intricate workings of artificial intelligence. When an individual files a medical insurance claim, they expect ...

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 ...

CLEARWATER, Fla.--(BUSINESS WIRE)--WLT Software, a leader in custom benefits and claims administration software, today announced that it will offer Intellivo’s subrogation services to WLT’s clients.

Bacancy Technology has helped BeatCare Insurance harness AI-driven automation, OCR, and cloud integration while adding to the claims management system. At Bacancy, we aim to use innovation and AI to ...

The healthcare industry has been notoriously slow at adopting technologies, but if it gets on board with real-time claims processing, the money could flow in. There’s no reason to fear technology said ...