Dive Brief:
Optum launched an artificial intelligence-backed system Tuesday that aims to speed and simplify the medical claims and reimbursement process.
The tool, called Optum Real, allows providers to message and receive information about patients’ health benefits. Optum said the tool could potentially avoid claims denials and give patients more transparency about coverage.
“The provider doesn’t have to guess. They can ask the payer in real time,” Puneet Maheshwari, general manager of Optum Real, told Healthcare Dive at the HLTH 2025 conference in Las Vegas. “So it’s not two weeks after when somebody is doing the coding of the chart.”
Dive Insight:
Healthcare spends billions of dollars annually to manage financial transactions like claims processing, prior authorization requests