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UnitedHealth Group (UNH) is set to launch Optum Real, an artificial intelligence (AI) system that could revolutionize medical claims processing, potentially lowering costs and improving patient care.
The technology translates complicated insurance rules into straightforward guidance, enabling doctors and billing teams to immediately determine whether a claim is likely to be approved. Early results from testing at Allina Health, a Minneapolis hospital network with 12 facilities, show meaningful improvements since the March rollout. The system has reduced claim denials across more than 5,000 outpatient visits in cardiology and radiology departments while speeding up prior authorizations.