AT FIVE. I WAS SHOCKED BECAUSE, I MEAN, AT THAT POINT, YOU KNOW, WHAT IS THE POINT OF HAVING INSURANCE IF SOMETHING WAS DENIED? REBECCA STRAUCH WAS TOLD THAT A PROCEDURE WAS MEDICALLY NECESSARY AND ...

Every year tens of millions of Americans dig deep into their pocketbooks to pay for health insurance plans that will cover ...

My infant son's medically necessary device was deemed 'cosmetic' and our claim was denied. And that's only the start.

A new report from the country's two leading insurance industry organizations alleges providers are "flooding" the No Surprises Act dispute process to score higher payments. The report was released ...

Claim scrubbing is the process of verifying that a medical claim's codes are accurate. Learn how code scrubbing works 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 ...

Optum launched an artificial intelligence-backed system Tuesday that aims to speed and simplify the medical claims and reimbursement process. The tool, called Optum Real, allows providers to message ...

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