Healthcare claims processing is rife with inefficiencies and financial strains marked by operational bottlenecks, rising denial rates and increasing administrative burdens faced by providers, ...

Starting January 1, 2026, California Assembly Bill 3275 (AB 3275) will go into effect, introducing shorter claim reimbursement timelines for health care service plans and health insurers operating in ...

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 ...

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.

Health insurers have used AI to make decisions on medical claims. Now, patients are using the technology to fight denials.

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 ...

CMS relief funding for healthcare providers affected by the Change Healthcare ransomware attack was inconsistently distributed, a new study found. Here are five things to know from the December Health ...

Providers’ struggles with claims denials have worsened compared with two years ago, according to Experian Health’s 2024 State of Claims survey released on Tuesday. Prior authorizations and missing or ...

Las Vegas, United States, December 5, 2025 -- ePsych Billing, a trusted provider of medical billing solutions tailored for ...

Many Americans who expect insurers to cover their treatments or procedures end up being denied vital care. Americans, many of whom harbor long-simmering anger over our health care system, vocalized ...