The Centers for Medicare & Medicaid Services has released a request for information seeking input on replacing its Medicare ...

As CMS moves to replace four legacy Medicare claims platforms, it is seeking a vendor to design one platform that would assume all the systems’ responsibilities.  In a Jan. 8 request for information, ...

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 ...

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 ...

LAS VEGAS, Nev.—Optum is rolling out a new, artificial-intelligence-powered system that aims to make the claims processing experience work more efficiently. The company unveiled Optum Real as part of ...

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 ...

The city’s public hospital system will ramp up the rollout of its partnership with a new company to facilitate insurance payments in the wake of the ongoing Change Healthcare outage. New York City ...

Healthcare organizations are increasingly turning to AI to accomplish tasks like record filing, standardizing patient data, and extracting patterns from large datasets. However, one of the areas that ...

The Centers for Medicare and Medicaid Services plans to modernize the claims system that contractors use to process and perform payment for hospitals that provide inpatient and outpatient services to ...

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 ...