Claim scrubbing is the process of verifying that a medical claim's codes are accurate. Learn how code scrubbing works and ...

The medical billing process can be complicated. Follow this step-by-step process to ensure you do it correctly.

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— ...

Insurers may ask if something is “medically necessary” before approving a claim. These companies may also deny coverage if something isn’t deemed so. Here’s what this means and what you can do about ...

Claim rejections for non-disclosure are not always final. Here is how documentation, timelines and doctor clarifications can ...

Optum launched an artificial intelligence-backed system Tuesday that aims to speed and simplify the medical claims and reimbursement process. The tool, called Optum Real, allows providers to message ...

When his health insurance company denied medical claims for his son’s hospital stay in Chicago, Brandon Kennedy got creative. “I called my local union, the health department, health branch of the ...