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 ...

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.

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

As health insurance companies across the nation use artificial intelligence more often to decide what gets covered, patients and doctors may be getting left in the dark about the algorithms that deny ...

The article clarifies the difference and explains how to verify cashless access in advance, especially for parent admissions ...