The Centers for Medicare & Medicaid Services (CMS) has been using prior authorization for selected Hospital Outpatient Department (OPD) services ...
Optum has launched a pair of AI-driven prior authorization products, one designed to speed up submissions on the provider side and another to accelerate clinical reviews for payers. The ...
21hOpinion
Most insurance claim denials are due to clerical error. The system needs to be simplified.
Your doctor submits a claim to your health insurance. The claim is denied. You might be justified in thinking the denial is ...
The intelligent automation will deliver more timely decisions that reduce delays and improve access to care, Optum says.
The CMS Final Rule signals a future in which prior authorization isn’t just faster but fairer. AI has the potential to accelerate decisions, lower administrative costs and support equitable access to ...
"Medically necessary" is often a four-letter word for patients.
Payer scrutiny in spine and orthopedic care is intensifying, and surgeons say the biggest barriers to care come not from clinical uncertainty, but from rigid algorithms, prior authorization delays and ...
Client Alerts By Meredith Doll USCIS has confirmed that the FY27 H-1B Cap registration period will run from 12pm EST on March ...
“In too many cases, including in California, a slow and inadequate response to wildfires is a direct result of reckless ...
Two hundred students walked out of Valdosta High School in protest against ICE activity across the country on Wednesday, Feb.
Advanced Drainage Systems, Inc. (NYSE: WMS) ("ADS" or the "Company"), a leading provider of innovative water management ...
Q4 2025 Earnings Call February 9, 2026 8:30 AM ESTCompany ParticipantsByron Stephen - Director of Investor RelationsRoy Mann ...
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