As healthcare providers see patient reimbursement dip and funding trickle, a provider’s ability to submit and collect on insurance claims on the first try is vital to hospital cash-flow. By sharing ...

The Minnesota Department of Human Services (DHS) has begun “enhanced prepayment review” of Medicaid service programs, according to an update from state officials on Monday. More than 80,000 claims ...

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 ...

UnitedHealth Group's pharmacy benefits manager, OptumRx Inc., was hit with an Employee Retirement Income Security Act of 1974 lawsuit for allegedly improperly approving more than $4.3 million for ...

West Virginia accused Optum of evading legal safeguards on opioid sales The state previously sued pharmacy benefit manager Express Scripts Dec 8, Reuters - West Virginia sued United HealthGroup on ...