When adversity strikes, insurance claims emerge as an indispensable lifeline for policyholders and a paramount responsibility for insurance adjusters. However, comprehending the intricacies of ...

Insurance claim denials have risen 16% from 2018 to 2024, affecting access to essential medications like insulin and albuterol. Denials often result from formulary exclusions, step therapy, and ...

Tammie Phillips, RN, vice president of business consulting with McKesson Health Solutions, and John Holyoak, director of product management with RelayHealth Financial, discussed best practices in ...

In the wake of the December 4, 2024 fatal shooting of UnitedHealthcare’s CEO Brian Thompson, questions were raised about insurance claim denial practices. Several news outlets noted that UnitedHealth ...

Business insurance plays an indispensable role in risk management. However, it’s not sufficient to simply have insurance; companies must adopt best practices to ensure adequate coverage and ...

In the fast-paced world of the dental practice, ensuring that your revenue streams remain robust is pivotal. One of the most significant yet often overlooked aspects of maintaining a healthy financial ...

DUBLIN, Aug. 25, 2023 /PRNewswire/ -- The "Advanced Reinsurance Contracts and Disputes Masterclass Training Course" training has been added to ResearchAndMarkets.com's offering. This seminar focuses ...

A patient comes in needing a dental bridge. The treatment goes smoothly and you file the claim. However, when the explanation of benefits comes back, the insurance company denies it because of a ...

The company has been accused of using algorithms to deny treatments and refusing coverage of nursing care to stroke patients. By Sarah Kliff and Reed Abelson As one of the nation’s largest health ...