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.

AI is constantly learning and improving in order to better meet brokers' needs; meanwhile, the claims process continues to evolve in the digital age. While the health care industry is witnessing a ...

With this collaboration, Jopari and Verisk will team up to provide clients with pre-validated, structured data on the front end-and actionable analytics on the back end-so that claims decisions can ...

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 ...

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 ...

Health insurance companies increasingly use artificial intelligence (AI) and machine learning (ML; a branch of AI) tools—often developed, trained, and tested with real-world data—to accelerate claims, ...

Patients wait to be attended to at Mathari Consolata Mission Hospital in Nyeri. Slow claims processing is a major contributor to the escalating medical bills. Photo/FILE Increased mergers and ...

Millions of Americans in the past few years have run into this experience: filing a health care insurance claim that once might have been paid immediately but instead is just as quickly denied. If the ...

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 ...

Life and health insurers are moving to one harmonized disability medical form that can be used to initiate both short- and ...

The medical billing and insurance claims process begins when you go to a medical provider or facility outside of the W&M Student Health Center (SHC) to access healthcare services. Most of the time, ...