Learn how insurance claims work, along with various types of claims, and understand what impact they have on your premiums to ...

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 ...

Carolyn J. Wukitch has a long view on how technology supports payments that are vital to U.S. healthcare. For 35 years, Wukitch has worked at a Newtown Square company now called Lyric.ai that helps ...

A new report released jointly by AHIP and the Blue Cross Blue Shield Association estimates that up to 39% of out-of-network claims submitted to the federal independent dispute resolution (IDR) process ...

Claims automation has evolved from a competitive advantage into a survival imperative for global healthcare and insurance organizations, as rising payer expectations and demands for real-time patient ...

Most recent data from the Insurance Regulatory Authority (IRA) shows that in the last quarter of 2025, the insurance industry paid more than Sh80 billion in claims in just four months, highlighting ...

Discover the future of health coverage. Explore 4 modern digital solutions for 24/7 policy management, real-time claim ...

The targeted killing of UnitedHealthcare CEO Brian Thompson in December became a turning point in the public's growing frustration with the health insurance industry. People began sharing stories ...

Cashless health insurance can make hospitalisation easier, but approval is not always automatic. Waiting periods, policy ...

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 ...