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 ...
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 ...
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.
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 ...
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 ...
“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 ...
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What is claim scrubbing?
Claim scrubbing is the process of verifying that a medical claim's codes are accurate. Learn how code scrubbing works and ...
UnitedHealth Group is reporting progress on restoring systems affected by a cyberattack last month that snarled pharmacies and blocked claims processing at hospitals and clinics nationwide. The ...
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 ...
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