Errors in manual claims processing are a big problem. While underpayments lead to complaints and rework, overpayments may go unnoticed and cost far more. In either event, healthcare claims payers bear ...

With rising claim denial rates posing a continuous threat to the financial stability of medical practices, the need for efficient claim processing has never been more critical. According to a poll ...

Nebraska insurance regulators have imposed a $1 million penalty against Bloomington-based Bright Health over alleged errors with claims processing, including more than 100 cases of denied coverage for ...

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 practices should take proactive steps to ensure they are not leaving money on the table due to claims processing errors, advised Naveen Sarabu, vice president of product for AdvancedMD, a ...

The ASC Association has determined that members affected by improper processing of claims using PT modifiers are now reporting correct processing, following ASC Association intervention and assistance ...

New York regulators have fined the Lincoln Financial Group $1.5 million for the company's failure to deal with widespread claims-processing errors and its tardiness at reporting the problem to the ...

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 ...

For decades, veterans have waited months, sometimes years, for the Department of Veterans Affairs (VA) to process disability claims. The backlog has been infamous, with hundreds of thousands of ...