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 ...

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

Refer to our methodology below for additional sourcing information. If your claim is denied, your doctor can resubmit the claim or you can file an appeal to try to get the insurance company to change ...

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.

AI Claims Amid the fallout from UnitedHealthcare CEO Brian Thompson's murder, the firm's prescription drug middleman is under ...

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 ...