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.

Claims processing can be a very time-consuming and complicated job. As recovery audit contractors scrutinize claims more closely, it is essential to have accurate documents. Sal Novin, CEO of ...

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 ...

The changes impact what’s known as Disability Adjudication, the process by which the agency reviews medical records and ...

NASHVILLE, Tenn. (WKRN) — Customers who bought bioidentical hormone replacement therapy treatments from HRC Medical Centers may be eligible for a claim. On Tuesday, Tennessee Attorney General Jonathan ...

GREENSBORO, N.C. — 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 ...

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 ...

Assessing how well a health insurer settles claims is a critical part of making decisions about what kind of medical coverage to buy. While premiums and benefits are important, the ability of an ...