A self-inflicted wound, drug overdose, or complication caused by a deliberate act of harm is completely excluded. The main point is that all insurers permanently exclude these to ensure only genuine, ...

As a retired claims officer of a major casualty and surety insurance company, I found “Denying denials” (Reading Eagle, March 28) interesting and reminiscent of my insurance industry experience.

Discover which services are typically not covered by health insurance, including cosmetic procedures, fertility treatments, ...

We collaborate with the world's leading lawyers to deliver news tailored for you. Sign Up for any (or all) of our 25+ Newsletters. Some states have laws and ethical rules regarding solicitation and ...

Les Masterson is a deputy editor and insurance analyst at Forbes Advisor. He has been a journalist, reporter, editor and content creator for more than 25 years. He has covered insurance for a decade, ...

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.

Federal data shows that health insurance companies denied more than 49 millions claims in 2021, but customers appealed less than 0.2 percent of them. Investigative journalists at ProPublica found that ...

Motor carriers have three major vehicle-based expenses: vehicles and maintenance, fuel and insurance. A carrier cannot run without covering all three. Unfortunately, freight rates haven't risen at the ...

Mona Kaul, chief coding and compliance officer of GENASCIS, which provides revenue cycle services and supporting technologies for surgery centers, discusses the following six ways ASCs can better ...

Insurance companies aren't experimenting with AI. They're deploying it at scale across three critical functions that directly ...