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.

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 ...

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 ...

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.

Claims processing is one of the most important touch points in the customer journey, which determines customer satisfaction and loyalty. On the other hand claims processing and the associated ...

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 ...

Dental claims are easier to deal with when the insurer’s process is clear from the start. With TATA AIG, policy terms are ...

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 ...

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 ...

(LANSING, MICH) The Michigan Department of Insurance and Financial Services (DIFS) announced that more Michiganders are appealing health insurance claim denials under the Patient's Right to ...

(CNN) — The health insurance billing system in the United States is stabilizing following an unprecedented cyberattack on a key company last month, but smaller health clinics may still need help to ...

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 ...