Today, OpenBots announced the launch of MedFlow Total Eligibility, a new capability within its MedFlow revenue cycle automation platform designed to replace manual interpretation of the 271 response, ...

As payers deploy advanced tech to scrutinize claims, health systems like Mercyhealth and WellStar are fighting back with stricter contracts and predictive AI. Over the past several years, the uphill ...

OmniMD introduces a unified AI-powered clinical–financial platform delivering predictive revenue insights, automation, ...

For Neal Shah, the breaking point came during his wife's cancer treatment. He remembers being overwhelmed, surrounded by stacks of hospital bills, denial notices and insurance statements. When he and ...

A San Francisco startup is pitching using AI to check people's eligibility for benefits and welfare for the government.

Patients in the US are using AI to fight the AI bots that health insurers use to deny care. Amid states’ attempts to curb health insurers’ use of artificial intelligence, patients and doctors are ...

Insurers’ growing use of AI in coverage decisions has faced scrutiny from some lawmakers concerned that the technology could deny care unfairly, especially in the MA program. UnitedHealth and Humana ...

As health insurers increasingly rely on artificial intelligence to process claims, denials have been on the rise. In 2023, about 73 million Americans on Affordable Care Act plans had their claims for ...

HealthLeaders 2025 webinars highlighted pivotal shifts in revenue cycle management, demonstrating how leaders are moving from reactive to proactive strategy through AI adoption, enhanced patient ...

Taking a page from the private insurance industry’s playbook, the Trump administration will launch a program next year to find out how much money an artificial intelligence algorithm could save the ...