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

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 ...

Lawmakers are in a standoff over whether to extend ObamaCare subsidies, with Republicans proposing reforms to reduce health ...

As the health care industry continues to evolve, disputes are becoming increasingly complex, from reimbursement matters and ...

We’re looking forward to the opportunity this creates to advance health outcomes and strengthen care in rural Washington,” ...

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 ...

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

Even if the theory stands that making the body less acidic would prevent cancer, the body has its own process for maintaining pH. More research is needed to determine if there is any tangible evidence ...

Open enrollment isn’t a feature of a functioning market. It’s a symptom of a system that values administrative ritual and ...

Federal officials say Oregon misused millions on Medicaid coverage for undocumented immigrants. The state says that’s false ...