“Medical claims submission and processing involves many complex steps to move from initiating claims preparation to receiving payment and involves numerous entities and databases. Claim verification, ...

Denied insurance claims are among the biggest challenges facing the U.S. health care system—driving up costs and leaving ...

Oracle launches Oracle Health Clinical Data Exchange to automate medical claims and enhance provider-payer data sharing. Built on Oracle Cloud Infrastructure, it reduces administrative costs, improves ...

Oracle Health launched a new cloud-based solution designed to streamline medical claims processing. “Healthcare has long been plagued by costly, time-intensive, and antiquated claims processing that ...

Medical service providers are responsible for billing insurance companies for their patients’ services and procedures. To do so, they must file medical claims as part of the medical billing process.

NEW YORK, Feb. 10, 2025 /PRNewswire/ -- Capital Rx, Inc., the enterprise health technology company and benefit administrator advancing our nation's electronic healthcare infrastructure, is announcing ...

Information technology solution developer Samsung SDS plans to roll out a blockchain-based medical claims processing system later this month, according to CoinDesk. At a blockchain conference, Samsung ...

Jan. 27—Geisinger denied certain insurance claims it should have paid, primarily for mental health and substance use disorder services, the Pennsylvania Insurance Department found. Acting Insurance ...

For medical practices, quick and accurate claims processing saves patients, providers and insurers time, money and energy. However, when claims are riddled with errors, no one gets paid and everyone ...

Bright Health Group says it is getting better at paying claims on time and estimating how much money it owes other carriers in risk adjustment payments — both problems that plagued the health ...

Bright Health Group continued to struggle with risk adjustment calculations for the second-straight quarter as the company saw losses surge amid worse-than-expected medical costs and troubles with ...