Break down silos in claims processing

Reframing claims processing with real-time payer insight

In a payer-provider demo, Optum shows how real-time payer adjudication logic and AI-driven workflows can help eliminate guesswork across the revenue cycle. 

By moving payer rules upstream and enabling inquiry-based claims before, during and after care, Optum helps reduce administrative friction, improve financial accuracy and create a more transparent experience for providers, payers and patients.

The demo highlights how modernizing legacy batch-based processes with payer-sourced intelligence allows healthcare organizations to replace estimates with answers — without replacing core adjudication systems.