"U.S. health insurance payers are facing the most fundamental shift in their history. We must have systems to support rapidly changing product portfolios and the pending requirements of Federal ...

Health insurer Blue Shield of California and the Hospital Association of Southern California, which represents 175 acute-care hospitals in Southern California, announced they have collaborated on a ...

As healthcare costs rise and member expectations grow, insurers continue to struggle with outdated and fragmented claims adjudication systems that lead to inefficiencies, errors, and delays. New ...

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Federal data shows that health insurance companies denied more than 49 millions claims in 2021, but customers appealed less than 0.2 percent of them. Investigative journalists at ProPublica found that ...

ProPublica is a nonprofit newsroom that investigates abuses of power. Sign up to receive our biggest stories as soon as they’re published. Want to request your claim file? Visit our free Claim File ...

SPRINGFIELD, Ill. (WAND) — Many people have either received a health insurance claim denial or know someone impacted by the setback. An Illinois advocacy group is spreading awareness about how ...

Health insurance has become necessary, with large and unpredictable health care costs always looming before each of us. Unfortunately, the majority of people have experienced problems when using their ...

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 appeal that decision— ...

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 appeal that decision— ...

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 ...

Fight Health Insurance, a groundbreaking AI tool designed to simplify the daunting process of appealing health insurance claim denials, which is free-for-consumers, has struck a chord with the public, ...