Optum Real allows providers to receive information about patients’ health benefits in real time, the company said.

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 ...

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, ...

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 ...

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, ...

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 ...

DECISION, AND IT’S EASIER THAN YOU MIGHT THINK. IN 2023, NEARLY 1 IN 5 IN-NETWORK HEALTH INSURANCE CLAIMS FROM PLANS SOLD ON HEALTHCARE.GOV WERE DENIED. AND IT WAS EVEN WORSE FOR OUT-OF-NETWORK CLAIMS ...

A recent change in the appeal process for denied health insurance claims could save Minnesotans time and money. When a claim gets denied, you can file an appeal. If it gets denied again, you can ask ...

Jacob McDonald knows he’s lucky to have a good health insurance plan through his employer, a tech company. But when his company started to send out emails recently updating employees about their ...