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 ...

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.

Processing claims at scale presents a challenge for insurers, particularly where the claims entail factors like complex underlying health conditions. According to data from the National Association of ...

When a health insurance company is deciding whether to pay for your medical treatment, the company generates a file around your claim. All the records associated with your case should be part of your ...

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 ...

Claims processing is one of the most important touch points in the customer journey, which determines customer satisfaction and loyalty. On the other hand claims processing and the associated ...

Nobody plans for medical emergencies. They just happen, and when they do, the last thing you want to worry about is whether your insurance claim will go through smoothly. If you have medical insurance ...

A health insurance claim coding system, comprising: a network and a database in communication with the network to store patient data and medical practitioner data; a provider terminal utilized by the ...

Geisinger denied certain insurance claims it should have paid, primarily for mental health and substance use disorder services, the Pennsylvania Insurance Department found. Acting Insurance ...

A letter arrives in the mail. Oh, great: It’s from your health insurance company. It contains some variation on the phrase “Your claim has been denied” and possibly “You may file an appeal to ...

With the availability of cashless medical insurance, the approach toward hospitalisation and medical emergencies has changed drastically. Instead of arranging funds upfront and waiting for ...

Editorial Note: Forbes Advisor may earn a commission on sales made from partner links on this page, but that doesn't affect our editors' opinions or evaluations. Insurance has evolved to provide a ...