Forbes contributors publish independent expert analyses and insights. I delve into the intricate workings of artificial intelligence. When an individual files a medical insurance claim, they expect ...

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, ...

In the realm of healthcare, the symbiotic relationship between healthcare providers and insurance companies is intricately woven with the threads of claims processing and payment integrity. Navigating ...

Many claims processing organizations rely on distributed workforces to save costs on office space, increase their access to labor, and have a broader talent pool to recruit out of. There are plenty of ...

Change Healthcare’s recent cyberattack has hospitals, doctors’ offices, and pharmacies across the country reeling as they struggle to process claims and bill patients. Experts told STAT it’s a glaring ...

Many families buy more than one health cover, but the claim process works differently when two insurers are involved.

AT FIVE. I WAS SHOCKED BECAUSE, I MEAN, AT THAT POINT, YOU KNOW, WHAT IS THE POINT OF HAVING INSURANCE IF SOMETHING WAS DENIED? REBECCA STRAUCH WAS TOLD THAT A PROCEDURE WAS MEDICALLY NECESSARY AND ...

As we enter health insurance open enrollment season, patients should be aware of an alarming trend—the escalating rate of health insurance claim denials—and what they can do to advocate for themselves ...

GREENSBORO, N.C. — Don't rush to pay out of pocket if your health insurance denies a test, treatment, or medication your doctor says you need. Consumer Reports says you have a guaranteed right to ...