With rising claim denial rates posing a continuous threat to the financial stability of medical practices, the need for efficient claim processing has never been more critical. According to a poll ...
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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 (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 ...
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 ...
Ahead of HIMSS26, Sairohith Thummarakoti of Texas A&M University–Kingsville previews his talk on how agentic AI and low-code ...
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 ...
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 ...
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 ...
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 ...
One flagship system is the Claims Classification and Processing System (CCPS), developed with the U.S. Digital Service and Presidential Innovation Fellows. When a veteran writes something like “my ...
Vermont’s Medicaid prescription claims system remains down and could still be weeks away from fully coming back online, according to the Department of Vermont Health Access. Change Healthcare, which ...