With rising claim denial rates posing a continuous threat to the financial stability of medical practices, the need for efficient claim processing has never been more critical. According to a poll ...

INDIANAPOLIS--(BUSINESS WIRE)--Hospitals, health systems and medical practices are beginning to feel the financial impact of a cyberattack on a widely used payment processor, as proprietary Kodiak ...

GERMANTOWN, Wis.--(BUSINESS WIRE)--VBA, a leading technology company for healthcare payers, has developed and implemented a claims adjudication engine that allows healthcare payers to process claims ...

Bright Health Group continued to struggle with risk adjustment calculations for the second-straight quarter as the company saw losses surge amid worse-than-expected medical costs and troubles with ...

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 ...

Provo, Utah-based Revere Health, an independent multispecialty physician group, plans to lay off 177 employees, according to a Utah WARN notice. The notice is dated for Nov. 3, and comes after Revere ...

Some health providers across the Tricare East Region have gone unpaid since the beginning of the year, leading them to wonder whether they can continue to treat military members or their families.

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 ...

Portland, Ore — An email obtained exclusively by KATU sheds light on an internal Paid Leave Oregon policy prohibiting staff from processing claims when the claimant is on the phone. The email was ...