Artificial intelligence could rework the claims and reimbursement process, allowing faster decision-making, reduced errors and billions in savings, according to an Optum executive.

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 ...

Months after the killing of a top health insurance executive unleashed Americans’ pent-up anger over denials of medical care, the industry announced Monday that it will take action to “streamline, ...

The nation’s major health insurers are promising to scale back and improve a widely despised practice that leads to care delays and complications. UnitedHealthcare, CVS Health's Aetna and dozens of ...

Claim denials are rising due to data inaccuracies, staffing shortages, and outdated technology, with 41% of providers experiencing denial rates of 10% or higher.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

Maryland Attorney General Anthony Brown said a unit within his office has recovered or saved consumers $2.6 million by ...