Nebraska insurance regulators have imposed a $1 million penalty against Bloomington-based Bright Health over alleged errors with claims processing, including more than 100 cases of denied coverage for ...

A health insurance claim coding system, comprising: a network and a database in communication with the network to store patient data and medical practitioner data; a provider terminal utilized by the ...

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 ...

Artificial intelligence and algorithms are a part of many businesses these days, including health insurance. It's a conversation that's resurfaced since the killing of UnitedHealthcare CEO Brian ...

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 ...

The medical billing process can be complicated. Follow this step-by-step process to ensure you do it correctly.

Few people realize how worthwhile appealing a denied health-insurance claim can be. Insurers in the U.S. process more than five billion payment claims annually, federal figures show. About 850 million ...

Often, the problems encountered with health insurance claims aren't due to bad luck, but rather the result of small mistakes ...

NORFOLK, Va. — A recent change to claims processing through Humana Military, the primary healthcare program used by active duty military, has led to weeks of unpaid insurance claims for mental health ...

While the appeals process is time-consuming, you can and should always appeal claim denials. Americans file appeals on as few as 0.2% of coverage denials under ACA marketplace plans, but appealing can ...

SPRINGFIELD, Ill. (WAND) — Many people have either received a health insurance claim denial or know someone impacted by the setback. An Illinois advocacy group is spreading awareness about how ...

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 ...