Veterans groups urged the Department of Veterans Affairs to take steps to end common mistakes in claims reviews for ...

The department has adopted several initiatives to speed processing and allow adjudicators to seek more work if they have ...

Introduction Health coverage offers freedom when confronted with unexpected medical bills. However, understanding the laws and limits of healthcare policy is crucial. One complicated feature that ...

The Erin is Hope Foundation says they had 200 outstanding claims totaling more than $13,000 just from their Tricare clients.

This could "make it harder for medical evaluators to integrate the ... Concern about the use of AI in claims processing has been growing as while the use of the technology has increased, so ...

A statistical analysis evaluated a refit of the Dementia AlgoRithm, which helps determine patients at risk for cognitive decline, using administrative claims data. It found the new models could be a ...

Individuals who file for long-term disability benefits believe the process will run without difficulty yet insurance institutions examine these claims very thoroughly. A long-term disability claim ...

Of Boley's case, Anthem said it made a mistake processing her claim ... that they'd seen "a spike in denials of claims on the basis of 'lack of medical necessity,'" especially for "inter-facility ...