Seventy-three percent of Americans say delays and denials of medical treatment by healthcare insurers are a major problem.

OPM seeks claims-level medical data on 8M federal workers; insurers and privacy experts raise HIPAA and security concerns.

As states strive to curb health insurers’ use of artificial intelligence, patients and doctors are arming themselves with AI tools to fight claims denials, prior authorizations and soaring medical ...

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.

A doctor with 23 years medical experience says many of the claims touted by online 'health and wellness influencers' are ...

Insurers may ask if something is “medically necessary” before approving a claim. These companies may also deny coverage if something isn’t deemed so. Here’s what this means and what you can do about ...

Optum launched an artificial intelligence-backed system Tuesday that aims to speed and simplify the medical claims and reimbursement process. The tool, called Optum Real, allows providers to message ...

If you spent a lot on medical equipment, services, or supplies in 2025, it might make sense to deduct them on your taxes. We walk you through the rules and requirements.