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 ...

A few proactive steps can significantly reduce surprises at the time of a health insurance claim ...

As we enter health insurance open enrollment season, patients should be aware of an alarming trend—the escalating rate of health insurance claim denials—and what they can do to advocate for themselves ...

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— ...

Forbes contributors publish independent expert analyses and insights. I delve into the intricate workings of artificial intelligence. When an individual files a medical insurance claim, they expect ...

IRDAI has tightened transparency requirements. If an insurer rejects a claim, it must explain the reason and point to the ...

In such a scenario, the policyholder can choose any one insurer to pay the claim first. If the bill is higher than that ...

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 ...

IRDAI has tightened disclosure requirements around claim decisions, requiring insurers to clearly explain the reasons for ...