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.

Claim denials can be a huge headache for healthcare providers. In fact, one survey found that private payers initially deny 15 percent of medical claims. Worse? Providers end up spending almost $20 ...

Optum launched an artificial intelligence-backed system Tuesday that aims to speed and simplify the medical claims and reimbursement process. The tool, called Optum Real, allows providers to message ...

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 ...

The rejections of prescription drug coverage among private health insurers in the U.S. have jumped 25% from 2016 to 2023, The New York Times reported, citing an analysis of over four billion claims ...

LOUISVILLE, Ky. (WAVE) - It can be extremely stressful when you need medical care or high-priced medication, and your health insurer denies what your physician has ordered. Roshan Patel is the CEO and ...

Insurers may ask if something is “medically necessary” before approving a claim. These companies may also deny coverage if something isn’t deemed so. Here’s what this means and what you can do about ...

SAN FRANCISCO--(BUSINESS WIRE)-- Hinge Health, Inc. (HNGE) today announced results from a medical claims analysis revealing an average $2,343 savings per member per year on care for chronic ...