Providers know instantly what’s covered, payers receive more comprehensive claims and patients know their coverage before ...

Claim denials are rising due to data inaccuracies, staffing shortages, and outdated technology, with 41% of providers experiencing denial rates of 10% or higher. Economic pressures and declining ...

AI is revolutionizing healthcare by improving diagnostics, reducing clinician workload, and enhancing care access, ...

Democrats are concerned about the upcoming expiration of expanded Affordable Care Act subsidies, which could cause premiums to rise significantly. Republicans argue Democrats want to fund health care ...

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, ...

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 ...

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A new report from the country's two leading insurance industry organizations alleges providers are "flooding" the No ...

The Michigan Department of Insurance and Financial Services announced that more Michiganders are appealing health insurance claim denials under the Patient's Right to Independent Review Act. "When a ...