While denial rates continue to climb, few health systems are using AI in claims management despite its potential to address gaps created by staffing shortages and data quality issues. Claim denial ...

Oregon Congressman Cliff Bentz questioned health insurance executives this week about how much money companies earn by ...

A survey reveals that claim denial rates are at a three-year high, and while only 14% of providers are using AI to fight them, the majority of those early adopters are already seeing a reduction in ...

A claim denial isn't the end of the road. You can still file an appeal.

Lawmakers put tough questions to UnitedHealth Group CEO Stephen Hemsley on Jan. 21, challenging the executive on his pay and ...

Exorbitant out-of-pocket costs, outright claim denials, even AI-bot responses are just a few of the pain points for healthcare providers and patients trying to access healthcare insurance in the ...

Insurance companies often deny claims. You can take these steps to help appeal an insurance denial. Knowing certain hacks and working with your healthcare team can help you get what you need for your ...

PHOENIX - Brittany Panico has seen insurers increasingly deny critical drugs and delay approvals for her patients, most of them living with complex autoimmune diseases. At a town hall about medical ...

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 ...

Two leading Democrats on a House panel called on the head of the Labor Department agency that protects workers’ benefits to take action on improper health insurance claim denials. The Tuesday letter ...

Brittany Panico has seen insurers increasingly deny critical drugs and delay approvals for her patients, most of them living with complex autoimmune diseases. At a town hall about medical claim ...