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 ...

Don't rush to pay out of pocket if your health insurance denies a test, treatment, or medication your doctor says you need. Consumer Reports says you have a guaranteed right to appeal that decision— ...

Oracle Health launched a new cloud-based solution designed to streamline medical claims processing. “Healthcare has long been plagued by costly, time-intensive, and antiquated claims processing that ...

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 fund balance for covering state employee health insurance claims could soon run dry, according to a new report from the ...

With rising claim denial rates posing a continuous threat to the financial stability of medical practices, the need for efficient claim processing has never been more critical. According to a poll ...

China’s rising healthcare demand is driving the expansion of the insurance market to support public health goals. Ant Insurance is helping leading insurers provide more accessible insurance services ...

A new report released jointly by AHIP and the Blue Cross Blue Shield Association estimates that up to 39% of out-of-network claims submitted to the federal independent dispute resolution (IDR) process ...

In most insurance companies, the claims department is where promises are tested. It is also where costs, controls and customer expectations collide. A single claim can pass through intake teams, ...

The Social Health Authority (SHA) has announced the appointment of 25 Claims Management Officers following what it described as a competitive and transparent recruitment process aimed at strengthening ...

AB PM-JAY currently processes nearly 50,000 claims daily across more than 1,900 treatment packages, making it one of the largest government-funded healthcare assurance programmes globally.