Although claims processing and reimbursement is a crucial piece of the health care revenue cycle, it involves a myriad of stakeholders and steps, such as validation, justification, authenticity ...

Doctors in New York have recovered millions of dollars from insurers in disputes over rejected claims in recent years. Since ...

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.

Despite claims processing being at the heart of the what insurers do, there is no standard format, legacy systems abound and some claims still arrive by mail. Yet, up to to 80 percent of all premiums ...

CHICAGO -- The percentage of claims incorrectly processed by health plans fell for the third straight year to 7.1% in 2013, according to the American Medical Association.

Many had hoped troops and their families would finally be able to get compensation for medical malpractice. The results of the claims process have been lackluster.

BOOTHEVILLE, La. – A settlement that BP is hammering out with victims of the massive Gulf oil spill finally provides a system for monitoring health concerns and compensating people whose ...

Risk adjustment, claims processing woes still troubling Bright Health Group Bloomington-based health insurer's share price dropped 20% in early trading after releasing fourth-quarter results.

Steve Hicks worked for 34 years at the Y-12 National Security Complex - which enriched the uranium for the atomic bomb that ...