Carolyn J. Wukitch has a long view on how technology supports payments that are vital to U.S. healthcare. For 35 years, Wukitch has worked at a Newtown Square company now called Lyric.ai that helps ...

The growing use of artificial intelligence by the health insurance industry faces mounting legal challenges, with patients claiming that insurers are using the technology to wrongly deny coverage for ...

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 ...

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 ...

Health insurance companies increasingly use artificial intelligence (AI) and machine learning (ML; a branch of AI) tools—often developed, trained, and tested with real-world data—to accelerate claims, ...

But in the process, their seven-year-old startup, Plum Insurance, seems to be solving another critical issue that makes ...

In most insurance companies, the claims department is where promises are tested. It is also where costs, controls and customer expectations collide. A single claim can pass through intake teams, ...

The targeted killing of UnitedHealthcare CEO Brian Thompson in December became a turning point in the public's growing frustration with the health insurance industry. People began sharing stories ...