Providers know instantly what’s covered, payers receive more comprehensive claims and patients know their coverage before ...

Claim denials are rising due to data inaccuracies, staffing shortages, and outdated technology, with 41% of providers experiencing denial rates of 10% or higher.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

Healthcare technology company Hyphen is aiming to bring social-needs-related organizations into the payment ecosystem with its new platform. The company is launching a new Social Care Claims ...

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 ...

AI is revolutionizing healthcare by improving diagnostics, reducing clinician workload, and enhancing care access, ...

China’s rising healthcare demand is driving the expansion of the insurance market to support public health goals. Ant Insurance is helping leading insurers provide more accessible insurance services ...

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 ...

Health tech startup Capital Rx raised money to fuel its growth from pharmacy benefit management to broader medical claims processing as the company aims to help employers and insurance companies ...

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 ...

A new report from the country's two leading insurance industry organizations alleges providers are "flooding" the No ...