In addition to the competitive environment in which insurance companies operate, these businesses are challenged by more stringent compliance with government regulations and increasing expectations on ...

Health systems are complex organizations that challenge their leaders to find the path to standardized processes. Revenue cycle management can be one of the most convoluted processes in healthcare.

For good reason, many companies focus their legal and compliance work on matters that require immediate attention, like active litigation and pressing regulatory issues. But matters that come to the ...

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 ...

Five Sigma embeds n8n workflow automation into its AI claims platform, giving claims teams no-code control over ...

Claims management fees can span an ocean of contentious, sometimes confusing issues. In this first of a two-part article, Col Fullagar examines some common case scenarios and reveals how financial ...

AI technologies have well and truly reformed information systems by making them far more adaptive to humans while significantly improving the interaction between humans and computer systems. With this ...

The financial landscape of healthcare is becoming increasingly complex. For payors and Third-Party Administrators (TPAs), the twin challenges of cost containment and ensuring payment accuracy are more ...

BOSTON--(BUSINESS WIRE)--Gradient AI, a leading enterprise software provider of artificial intelligence (AI) solutions in the insurance industry today announced that Cannon Cochran Management Services ...

Across every industry, rapid digital transformation has been underway for decades, ushering in greater efficiencies. Within the healthcare industry, the story is a bit different. On the clinical side, ...

ROLLING MEADOWS, Ill.--(BUSINESS WIRE)--Origin Specialty Underwriters Agency, LLC (“Origin Specialty”), an expansive Managing General Underwriter (“MGU”) leader in innovative risk solutions and ...

Insurance is not just about the numbers, says Col Fullagar. He explains why it is so important to get the claims dispute process right. Insurance companies tend to focus much of their self-promotion ...