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.

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 ...

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 ...

The medical billing process can be complicated. Follow this step-by-step process to ensure you do it correctly.

Artificial intelligence and algorithms are a part of many businesses these days, including health insurance. It's a conversation that's resurfaced since the killing of UnitedHealthcare CEO Brian ...

Regulating AI in healthcare has been on the legislative agenda in a number of states in recent months, as critics argue that it increases inaccuracies.

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 ...

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 ...

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 ...

Tell you insurer you want to file an internal appeal, which can take up to 30 days. If the first appeal is turned down, the second step is an external review, which sends the dispute to an independent ...