AI’s role in insurance is already spawning lawsuits and battles over its regulation. That's not slowing down its use.

Dedicated claims advocates employed by PEOs review medical denials, negotiate facility bills, and connect employees to ...

Insurers can deny claims in the first two years after you buy a policy if you made mistakes on the application ...

There are three key ways to reduce the administrative burden in the US health care system.

Six months after Eric Tennant died following a protracted battle with his health insurer over doctor-recommended cancer care, ...

"I don't think a corporation... should be telling people what they can and can't do." The post Insurance Companies Already ...

While chatbots like Claude and ChatGPT can help narrow the information divide between patients and providers, they can also ...

A judge for the U.S. District Court for the District of Massachusetts denied a motion to dismiss a lawsuit alleging an antitrust conspiracy by healthcare technology company Zelis and five major health ...

Whistleblowers allege the state-run hospital billed like a nursing home, while warehousing mentally ill patients.

Insurers have cut prior auth requirements by 11%, reducing 6.5 million authorizations and easing access across Medicare Advantage and commercial plans.

Several years ago UnitedHealthcare launched a Consumer Resolution Center that combines AI insights with human judgment to ...