Learn how insurance claims work, along with various types of claims, and understand what impact they have on your premiums to ...

IRDAI has tightened disclosure requirements around claim decisions, requiring insurers to clearly explain the reasons for ...

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 ...

A few proactive steps can significantly reduce surprises at the time of a health insurance claim ...

Experts emphasise that policyholders should always provide complete and accurate information when purchasing health insurance ...

Claims automation has evolved from a competitive advantage into a survival imperative for global healthcare and insurance organizations, as rising payer expectations and demands for real-time patient ...

Don't rush to pay out of pocket if your health insurance denies a test, treatment, or medication your doctor says you need. Consumer Reports says you have a guaranteed right to appeal that decision— ...

IRDAI now mandates insurers to provide clear explanations for rejected health insurance claims, addressing concerns as nearly ...

A new report released jointly by AHIP and the Blue Cross Blue Shield Association estimates that up to 39% of out-of-network claims submitted to the federal independent dispute resolution (IDR) process ...

The targeted killing of UnitedHealthcare CEO Brian Thompson in December became a turning point in the public's growing frustration with the health insurance industry. People began sharing stories ...

The growing use of artificial intelligence by the health insurance industry faces mounting legal challenges, with patients claiming that insurers are using the technology to wrongly deny coverage for ...

Low-income patients—and their health care providers—are less likely to challenge denials of their health insurance claims than those with household incomes above $50,000, according to University of ...