Clients of the drug middleman can pay monthly fees per member that aren’t linked to manufacturers’ list prices or ...

Advances in completeness and accuracy expected to reduce the number of claims-processing errors and appeals, improve care provider and patient experiences, avoid unnecessary costs Availity will ...

Envision Healthcare claims UnitedHealth Group is forcing physician groups out of network in an effort to recruit them to its subsidiary Optum, according to a May 2 lawsuit focused on Florida-based ...

Optum is partnering with Microsoft to enhance its Optum Real real-time claims system with AI-powered features aimed at reducing administrative burdens for healthcare providers. The updates integrate ...

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 ...

Optum today launched a new portfolio of technology-enabled business process outsourcing services to help health care payers transform their core administrative operations, reduce costs and adapt to ...

Recently, Optum Behavioral Health (“Optum,” the services division for UnitedHealth Group) has initiated overpayment recovery actions against numerous licensed clinical social workers (“LCSWs”) across ...

The February 2024 cyberattack on Change Healthcare -- a large health claims processor owned by UnitedHealth Group -- hit Christine Meyer, MD's practice in Exton, Pennsylvania hard. The six-physician ...