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 ...

The growing use of artificial intelligence by the health insurance industry faces mounting legal challenges, with patients claiming that insurers are using the technology to wrongly deny coverage for ...

In the realm of healthcare, the symbiotic relationship between healthcare providers and insurance companies is intricately woven with the threads of claims processing and payment integrity. Navigating ...

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 ...

As health insurance companies across the nation use artificial intelligence more often to decide what gets covered, patients and doctors may be getting left in the dark about the algorithms that deny ...

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 ...

China’s rising healthcare demand is driving the expansion of the insurance market to support public health goals. Ant Insurance is helping leading insurers provide more accessible insurance services ...

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— ...

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 ...

Malacañang on Wednesday urged hospitals to submit complete records as the Department of Health (DOH) and the Philippine ...

The Social Health Authority (SHA) has appointed eight senior officials to strengthen claims management and accelerate ...