These strategies and practices can significantly shorten the life cycle of claims, leading to quicker resolutions and improved financial outcomes.

The cash flow impact of a recent cyberattack on a healthcare claims processor is illustrated by changes in the net cash value of weekly claims filed by more than 1,850 hospitals and 250,000 ...

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.

VBA, a leading technology company for healthcare payers, has developed and implemented a claims adjudication engine that allows healthcare payers to p ...

The U.S. healthcare system spends about $200 billion each year on claims-related overhead tied to data errors, and up to 90% of that is labor-driven. Providers often bear the brunt, with every ...

Humana Military transitioned its claims processing on Jan. 1 from third-party processor Wisconsin Physicians Service to PGBA, an administrative company based in Florence, South Carolina.

Jan. 27—Geisinger denied certain insurance claims it should have paid, primarily for mental health and substance use disorder services, the Pennsylvania Insurance Department found. Acting ...

An internal email obtained by KATU News reveals Paid Leave prohibits staff from processing claims while on a call with claimants.

Geisinger denied certain insurance claims it should have paid, primarily for mental health and substance use disorder services, the Pennsylvania Insurance Department found. Acting Insurance Commiss… ...