Optum Real Delivers Clarity in Claims and Reimbursement

Optum Real Delivers Clarity in Claims and Reimbursement

Author: John Lynn December 29, 2025 Duration: 13:53

The vision for Optum Real is to create real-time transparency between payers and providers in the moments of care that matter. Current AI technology, according to Puneet Maheshwari, SVP, GM of Optum Real is making this possible now.

Optum is a major force in health care, serving nine out of ten health care systems and four out of five payers in the U.S. Optum Real is in pilot now with a number of health care organizations. During the pilot, the platform has achieved a 25% reduction in call volume in the first two weeks with one health care provider, a 42% reduction at another, and a reduction in errors in reimbursement submissions of up to 75% with a large health system in Minnesota.

Learn more about Optum Real: https://business.optum.com/en/operations-technology/optum-real.html

Healthcare IT Community: https://www.healthcareittoday.com/


For anyone navigating the complex and ever-evolving world of healthcare technology, Healthcare IT Today Interviews offers a direct line to the people shaping its future. Host John Lynn sits down with leading experts, moving beyond theory to explore the real-world applications and challenges they face every day. This isn't about surface-level news; it’s a series of deep, conversational explorations. You’ll hear firsthand accounts about implementing and optimizing electronic health records, the critical balance between data security and patient privacy, and how analytics are transforming patient care. The discussions naturally cover the practicalities of telehealth, the nuances of healthcare communication systems, and the many other technologies redefining clinical and administrative workflows. Each episode of this podcast pulls back the curtain on the front lines, providing clarity and insight that’s both substantive and accessible. Tune in for honest perspectives on where healthcare IT has been, the problems being solved right now, and what’s coming next.
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