UnitedHealth tests AI system to streamline medical claims processing - Bloomberg
Investing.com -- UnitedHealth Group Inc. is testing a new system called Optum Real to streamline medical claims processing, representing an early application of artificial intelligence to reduce friction in healthcare billing, according to a report from Bloomberg News.
The system works by converting health plans’ complex coverage rules into real-time information that doctors and billing staff can use to determine if a claim is likely to be paid.
Since March, Optum Real has been implemented at Allina Health, a Minneapolis-based hospital system with 12 facilities. The technology connects two of Allina’s departments directly to UnitedHealthcare, the insurance division of UnitedHealth Group.
Dave Ingham, chief digital and information officer for Allina Health, said the system has already significantly reduced claims denials across more than 5,000 visits in the hospital group’s outpatient cardiology and radiology departments.
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