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Medical offices bill insurance providers for clients' services. Learn what's involved, including HIPAA regulations, what to ...

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 ...

With all the hype around AI, business partners and legal professionals are scrambling to understand, adapt, and possibly implement the rapidly changing technology. From a business perspective, the ...

Claim denials are rising due to data inaccuracies, staffing shortages, and outdated technology, with 41% of providers experiencing denial rates of 10% or higher.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

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 ...

Puneet Maheshwari is the senior vice president and general manager for Optum Real at Optum. On any given weekday morning, care providers nationwide sit staring at computer screens, navigating and ...

Ask a healthcare executive what AI is doing for the industry today, and you're likely to hear headline-grabbing use cases: drug discovery, personalized primary care, chatbot triage, AI-enabled therapy ...

KNOXVILLE, Tenn. — The University of Tennessee Research Foundation's Accelerate Fund is investing $150,000 in an artificial intelligence startup for processing health care claims. The startup, ...

The emergency rooms are easily the busiest at any given time in hospitals. Nurses rush between patients, doctors make split-second decisions, and somewhere in the background, a digital system quietly ...

Rapid technological developments in artificial intelligence (AI) have resulted in growing public attention to the potential benefits and challenges of these developments as they relate to health care.