Commercial insurers denied roughly one out of every five claims submitted in 2024, with administrative issues driving a large ...

The data highlight an overly complex system that burdens providers, insurers, and patients, Health Policy Commission head ...

Medicare has launched a six-year pilot program that could eventually transform access to health care for some of the millions ...

Securian Financial today announced the launch of AI-enabled instant claims decision and benefit payment capabilities for its supplemental health insurance products— the first offering of its kind in ...

Crowley administration pushes approval though not sure of financial details and employee who oversaw contract was fired.

Temple Health taps Epic to electronically send medical records to SSA, speeding Social Security Disability Insurance ...

Artificial intelligence (AI) has helped the Social Health Authority (SHA) uncover fresh cases of suspected fraud in Kwale County, Health Cabinet Secretary Aden Duale has revealed, as new details ...

Vivek Jetley, president and head of Insurance, Healthcare and Life Sciences at EXL, a global data and AI company serving Fortune 500 firms. Long claims processing and settlement cycles are often ...

The first notice of loss (FNOL) is the starting point for every insurance claim. It sets the tone for the entire claims cycle. And for years, this process has been manual. Whether it’s an unfortunate ...

Insurance watchdog, the Insurance Regulatory and Development Authority of India (IRDAI), has slapped a hefty Rs 1 crore fine on Care Health Insurance for serious lapses in claims settlement that ...