Before filing a health insurance claim, policyholders should review exclusions, confirm cashless hospital networks, and keep documents ready. Experts share tips for hassle-free settlement.

Oracle Health introduced a suite of artificial intelligence-based tools aimed at improving coordination and reducing administrative burden between healthcare providers and payers. The company ...

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 ...

Medical service providers are responsible for billing insurance companies for their patients’ services and procedures. To do so, they must file medical claims as part of the medical billing process.

“Medical claims submission and processing involves many complex steps to move from initiating claims preparation to receiving payment and involves numerous entities and databases. Claim verification, ...

Oracle launches Oracle Health Clinical Data Exchange to automate medical claims and enhance provider-payer data sharing. Built on Oracle Cloud Infrastructure, it reduces administrative costs, improves ...

Oracle Health launched a new cloud-based solution designed to streamline medical claims processing. “Healthcare has long been plagued by costly, time-intensive, and antiquated claims processing that ...

Healthcare technology company Hyphen is aiming to bring social-needs-related organizations into the payment ecosystem with its new platform. The company is launching a new Social Care Claims ...

Jan. 27—Geisinger denied certain insurance claims it should have paid, primarily for mental health and substance use disorder services, the Pennsylvania Insurance Department found. Acting Insurance ...