CMS has released a request for information seeking input on replacing its Medicare claims processing system with a real-time, cloud-based platform. Under the program, called ClaimsCore, CMS is seeking ...
WOOD COUNTY, Wis. (WSAW) - While some veterans are getting their benefits through the Department of Veterans Affairs processed quickly, others are frustrated with the wait times. County veteran ...
In a disturbing sign of the times, Medicare this week implemented a change to its claims-processing system that adds two extra digits to money amounts, expanding the fields from eight digits to 10.
Accordingly, Applicant has invented embodiments which, working within the current prescription redemption infrastructure relied upon by pharmacies, provides for Applicant’s inventive system to process ...
“Further, deficiencies of legacy systems used in recording, monitoring and processing of such claims present significant risk of breach of privacy of parties involved. This is evidenced by the multi ...
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 ...
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 ...
Officials from the Veterans Affairs regional office assist veterans with claims and benefit information during a claims clinic at the Estate Bethlehem Military Compound in St. Croix, Virgin Islands, ...
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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 ...
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 ...
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 ...
UnitedHealth Group is reporting progress on restoring systems affected by a cyberattack last month that snarled pharmacies and blocked claims processing at hospitals and clinics nationwide. The ...