Months after the killing of a top health insurance executive unleashed Americans’ pent-up anger over denials of medical care, the industry announced Monday that it will take action to “streamline, ...

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 ...

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— ...

The medical billing process can be complicated. Follow this step-by-step process to ensure you do it correctly.

UnitedHealthcare, Kaiser Permanente and other major U.S. health insurers say they want to make it faster and easier for patients to obtain care. Health Insurance Plans (AHIP), a trade association that ...

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 ...

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 ...

In an era of technology-driven workflows and automated claims processes, most healthcare providers are skilled at billing traditional claims that require minimal manual touches. In contrast, motor ...

A new report from the country's two leading insurance industry organizations alleges providers are "flooding" the No Surprises Act dispute process to score higher payments. The report was released ...

MOBILE, ALA.—Not long ago, Dr. Richard Menger, a neurosurgeon, was ready to operate on a 16-year-old with complex scoliosis. A team of doctors had spent months preparing for the surgery, consulting ...