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 ...

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

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 ...

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

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 ...

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 ...

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 ...

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 ...