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Claims Processing

By Andrea Fox | 11:00 am | November 06, 2025
Innovaccer will support analytics efforts by the state's PopHealth Learning Center to comply with federal quality management and performance tracking requirements under the California Equity and Practice Transforming Health Program.
By Andrea Fox | 10:55 am | November 04, 2025
Through the new Collaborative for Healthy Rural America, several health tech companies and their partners pledge to build an integrated care coordination and payment platform for states as they embark on their rural health transformation plans.
By Andrea Fox | 02:07 pm | October 28, 2025
A top ATA expert says without Medicare telehealth waivers or reimbursement guarantees – while facing increased operational challenges – more providers are issuing advance notices of non-coverage. Next are concerns about e-prescribing flexibilities.
By Susan Morse | 11:45 am | October 24, 2025
Providers know instantly what’s covered, payers receive more comprehensive claims and patients know their coverage before leaving the doctor's office, Optum says.
By Andrea Fox | 10:53 am | October 23, 2025
A subscription-based EHR and practice management system could lower barriers preventing mental health professionals from starting their own practices, the company says.
By Mike Miliard | 11:05 am | October 21, 2025
The first phase of the interoperability project will focus on Medicare Advantage members, using FHIR and open APIs to automate patient identification and give clinicians the actionable information they need to advance value-based care.
By Andrea Fox | 09:40 am | October 16, 2025
It's been two weeks and counting with neither Medicare telehealth waivers nor any guarantee of retroactive reimbursement. That's unsettling for both clinicians and patients nationwide, says the American Telemedicine Association.
By Andrea Fox | 03:49 pm | October 10, 2025
Epic with Louisiana providers will enable MyChart access for all of its 2.5 million patients in the state, while athenahealth and WellSky invested in administrative artificial intelligence for home health clinicians and practice claims staff.
By Andrea Fox | 10:37 am | September 29, 2025
eClinicalWorks showcased a series of artificial intelligence tools it says are all aimed at improving the relationships between doctors and patients, and billing departments and healthcare consumers.
By Andrea Fox | 05:28 am | September 18, 2025
The House passed a bill to modernize the Veterans Affairs' claims process by creating an artificial intelligence tool to retrieve data, provide decision support, share information and generate claim-related correspondence.