Add Yahoo as a preferred source to see more of our stories on Google. UnitedHealth Group is reporting progress on restoring systems impacted by a cyberattack last month that snarled pharmacies and ...

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 ...

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 ...

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.

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 ...

VIRGINIA BEACH, Va. (WAVY) — Recent changes to the claims process for Tricare, the health insurance program for military members and their families, has impacted mental health clinics in Hampton Roads ...

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 ...

“Further, deficiencies of legacy systems used in recording, monitoring and processing of such claims present significant risk of breach of privacy of parties involved. This is evidenced by the multi ...

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 ...

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 ...

The Centers for Medicare and Medicaid Services plans to issue a request for proposals in early November to update and maintain its medical claims processing system for Medicare Part B, which covers ...