More than three-quarters (77%) of MGAs believe the claims process with carriers requires improvement, up from 59% in 2023, ...

Mika Newton is CEO of xCures, using state-of-the-art AI to process all types of medical records, turning data chaos into ...

Health insurers may refuse to pay for procedures, tests, medications, and more. If you think a service or treatment should be ...

The nation’s major health insurers are promising to scale back and improve a widely despised practice that leads to care ...

If your claim has been denied and you aren't sure how to proceed, it's always in your best interest to reach out to someone who can help. You might find out that the claim denial was legitimate and ...

Alan Cash: Ugg, medical claims! First things first, in disputing a claim is to understand exactly why it was denied. Insurance companies are required to provide an Explanation of Benefits (EOB).

However, as a scheme member you are also entitled to claim from your scheme and your scheme is most likely to pay your immediate costs and ensure you are admitted to a private hospital. Schemes pay ...

Claim denials can be a huge headache for healthcare providers. In fact, one survey found that private payers initially deny 15 percent of medical claims. Worse? Providers end up spending almost ...

The letter to health minister Jennifer Carroll MacNeill and justice minister Jim O’Callaghan calls for several measures including pre-action protocols ...