While the word "healthcare" can be heard everywhere these days, how exactly do healthcare organizations achieve their goals of improving patient care and ensuring profitability? One of the most ...

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.

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 ...

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 ...

Healthcare organizations have a fundamental obligation to ensure that patients get the best possible care. No matter what type of treatment they deliver, healthcare providers must also ensure that ...

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 ...

Claim denials are rising due to data inaccuracies, staffing shortages, and outdated technology, with 41% of providers experiencing denial rates of 10% or higher. Economic pressures and declining ...

More AI companies are producing tools to help automate the revenue cycle, one of the most expensive and complicated departments of a hospital. These tools have demonstrated promise in collections, but ...

As states strive to curb health insurers' use of artificial intelligence, patients and doctors are arming themselves with AI tools to fight claims denials, prior authorizations and soaring medical ...

The emergency rooms are easily the busiest at any given time in hospitals. Nurses rush between patients, doctors make split-second decisions, and somewhere in the background, a digital system quietly ...

The MarketWatch News Department was not involved in the creation of this content. Claims Processing Software Market to Reach USD 10.1 Billion by 2033, Driven by Digital Transformation, Automation, and ...