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.

On Dec. 5, 2024, one insurer contacted ValuePenguin claiming that the denial rate listed in this article is not consistent with their internal records. We will update this article with more ...

When health insurance companies deny a claim, policyholders have options. Here is what to do. Rebecca Strauch was told a ...

The Michigan Department of Insurance and Financial Services announced that more Michiganders are appealing health insurance claim denials under the Patient's Right to Independent Review Act. "When a ...

Frequent delays in insurance claim approvals at the time of hospital discharge have become a major source of frustration for ...

AI is constantly learning and improving in order to better meet brokers' needs; meanwhile, the claims process continues to evolve in the digital age. While the health care industry is witnessing a ...

As a practicing member of the medical/pharmaceutical/insurance complex (I am a clinical psychologist and routinely bill insurance companies for client care), I cringe when I hear about healthcare ...

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, ...

A cashless claim in health insurance allows you to receive treatment at a network hospital without paying out of pocket.

Editorial Note: Forbes Advisor may earn a commission on sales made from partner links on this page, but that doesn't affect our editors' opinions or evaluations. Insurance has evolved to provide a ...

Patients wait to be attended to at Mathari Consolata Mission Hospital in Nyeri. Slow claims processing is a major contributor to the escalating medical bills. Photo/FILE Increased mergers and ...