Adam Hayes, Ph.D., CFA, is a financial writer with 15+ years Wall Street experience as a derivatives trader. Besides his extensive derivative trading expertise, Adam is an expert in economics and ...

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 ...

Receiving a denied insurance claim can be frustrating and financially stressful, but policyholders have important rights that ...

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— ...

Claims automation has evolved from a competitive advantage into a survival imperative for global healthcare and insurance organizations, as rising payer expectations and demands for real-time patient ...

Few people realize how worthwhile appealing a denied health-insurance claim can be. Insurers in the U.S. process more than five billion payment claims annually, federal figures show. About 850 million ...

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 ...

A few proactive steps can significantly reduce surprises at the time of a health insurance claim ...

IRDAI has tightened disclosure requirements around claim decisions, requiring insurers to clearly explain the reasons for ...

The targeted killing of UnitedHealthcare CEO Brian Thompson in December became a turning point in the public's growing frustration with the health insurance industry. People began sharing stories ...

Cashless health insurance can make hospitalisation easier, but approval is not always automatic. Waiting periods, policy ...

Low-income patients—and their health care providers—are less likely to challenge denials of their health insurance claims than those with household incomes above $50,000, according to University of ...