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.

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 ...

In the wake of the boom of artificial intelligence (AI), more healthcare insurance companies are using the technology to speed up the process of evaluating patient medical claims, making it quite ...

VIRGINIA BEACH, Va. (WAVY) — Recent changes to the claims process for Tricare, the health insurance program for military members and their families, has impacted mental health clinics in Hampton Roads ...

Health insurance has long been typecast as the industry that says “no,” mails confusing letters, and cleans up the administrative mess after care happens. Even inside payer organizations, we’ve ...

As states strive to curb health insurers' use of artificial intelligence, patients and doctors are arming themselves with AI tools to fight claims denials, prior authorizations and soaring medical ...

CLEARWATER, Fla.--(BUSINESS WIRE)--WLT Software, a leader in custom benefits and claims administration software, today announced that it will offer Intellivo’s subrogation services to WLT’s clients.

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 ...

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 ...

Michal Horný is an assistant professor of health policy and management in the UMass Amherst School of Public Health and Health Sciences. Low-income patients—and their healthcare providers—are less ...