“The present disclosure relates to a secure system for automated claim adjudication and more specifically, to a secure and tamper proof distributed ledger architecture for recording, monitoring and ...

Insurance claims have always been document-heavy, time-sensitive, and prone to fraud. A single corporate loss event can ...

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 ...

Imagine a world where insurance claims are processed instantly with accuracy and minimal manual intervention. Yes, that is the promise current artificial intelligence revolution has made in claims ...

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 ...

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.

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 ...

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After almost a month of strife for pharmacists and their patients, Vermont’s Medicaid pharmacy claims processing system is up and running again as of March 18. The outage occurred on Feb. 21 after a ...

The employee retention credit (ERC) has been a thorn in the IRS’ side for some time. Enacted during the COVID-19 pandemic, Congress originally designed the ERC as a means to funnel much needed money ...