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, ...

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 ...

VIRGINIA BEACH, Va. (WAVY) — Recent changes to the claims process for Tricare, the health insurance program for military members and their families, has impacted mental health clinics in Hampton Roads ...

CLEARWATER, Fla.--(BUSINESS WIRE)--WLT Software, a leader in custom benefits and claims administration software, today announced that it will offer Intellivo’s subrogation services to WLT’s clients.

Those who pair innovation with disciplined execution will be best positioned to scale AI responsibly, intelligently and with ...

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 ...

Claim scrubbing is the process of verifying that a medical claim's codes are accurate. Learn how code scrubbing works and ...

A data-driven approach to integrating AI into the inner workings of a complex process like insurance claims can rapidly ...

The Internal Revenue Service has adjusted its moratorium on processing Employee Retention Tax Credit (ERC) claims, announcing last week it will begin processing claims filed between September 14, 2023 ...

In September 2023, the IRS announced a moratorium on the processing of new employee retention credit (ERC) claims because of what it said was rampant fraud. That moratorium has not stopped the filing ...

WIESBADEN, Germany – Summer is permanent change of station season for Soldiers and their family members. Unfortunately, the stress of establishing a new home and acclimating to a new duty station can ...