Medical service providers are responsible for billing insurance companies for their patients’ services and procedures. To do so, they must file medical claims as part of the medical billing process.

Frequent delays in insurance claim approvals at the time of hospital discharge have become a major source of frustration for ...

Geisinger denied certain insurance claims it should have paid, primarily for mental health and substance use disorder services, the Pennsylvania Insurance Department found. Acting Insurance ...

A new report from the country's two leading insurance industry organizations alleges providers are "flooding" the No ...

Optum Real allows providers to receive information about patients’ health benefits in real time, the company said.

AI is constantly learning and improving in order to better meet brokers' needs; meanwhile, the claims process continues to evolve in the digital age. While the health care industry is witnessing a ...

As a practicing member of the medical/pharmaceutical/insurance complex (I am a clinical psychologist and routinely bill insurance companies for client care), I cringe when I hear about healthcare ...

Health insurance companies increasingly use artificial intelligence (AI) and machine learning (ML; a branch of AI) tools—often developed, trained, and tested with real-world data—to accelerate claims, ...

Editorial Note: Forbes Advisor may earn a commission on sales made from partner links on this page, but that doesn't affect our editors' opinions or evaluations. Insurance has evolved to provide a ...

Patients wait to be attended to at Mathari Consolata Mission Hospital in Nyeri. Slow claims processing is a major contributor to the escalating medical bills. Photo/FILE Increased mergers and ...

A letter arrives in the mail. Oh, great: It’s from your health insurance company. It contains some variation on the phrase “Your claim has been denied” and possibly “You may file an appeal to ...