The lawsuit asks the judge to rule that an independent hearing officer preside over the company’s administrative hearing on ...

It's the latest in a series of lawsuits against Express Scripts and Optum, as pharmacy benefit managers begin to come under more scrutiny.

This story was first published by investigative nonprofit. There was a time when Sharelle Menard thought her son would never ...

Exposing the sordid trail from $100 bills tossed onto Interstate 5. Uncovering a Portland city leader’s shocking pileup of ...

Healthcare providers in Acadiana raise concerns over denials of benefits for autistic children, calls for reforms ...

Nebraska AG sues Change Healthcare, UnitedHealth Group, Optum over alleged security failures leading to the largest data breach in U.S. history.

The report claims Optum's strategy specifically targets kids insured through Medicaid, a federal program administered through states that provides health coverage to people with low incomes.

Shortly after TechCrunch reached out to Optum to ask about SOP Chatbot ... no real patient data was ever inserted into it, and the company claims none was used in its training.

For example, the chatbot was trained on Optum's internal documents about handling claims and reimbursements. According to TechCrunch, while these documents were securely stored within ...

But Optum has continued to challenge her patients' individual therapy claims. When her team received the denial for Benji's care, McCoy set out to gather hard evidence to demonstrate the necessity ...

In this case, the chatbot was trained on internal Optum documents relating to SOPs for handling certain claims, which can help Optum employees answer questions about claims and their eligibility to be ...