Medical service providers are responsible for billing insurance companies for their patients’ services and procedures. To do so, they must file medical claims as part of the medical billing process.

The changes impact what’s known as Disability Adjudication, the process by which the agency reviews medical records and ...

Claims processing can be a very time-consuming and complicated job. As recovery audit contractors scrutinize claims more closely, it is essential to have accurate documents. Sal Novin, CEO of ...

I’m writing regarding the Maine House Republicans’ recent press release about a federal audit finding $45.6 million in improper MaineCare autism payments from the state of Maine. As a retired ...

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 ...

(InvestigateTV) — For many Americans, receiving an unexpected, sky-high medical bill after an insurance claim is denied is an all-too-common nightmare. With medical expenses being one of the leading ...

The murder of UnitedHealthcare CEO Brian Thompson has prompted a lot of conversation across the country about our health insurance system. The shocking murder of UnitedHealthcare CEO Brian Thompson in ...

We need to talk about the part of health insurance nobody likes to think about. Not the premiums, not the brochures, not the list of covered hospitals. I’m talking about the claim.