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 ...

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 ...

LAS VEGAS, Nev.—Optum is rolling out a new, artificial-intelligence-powered system that aims to make the claims processing experience work more efficiently. The company unveiled Optum Real as part of ...

ST. PAUL, Minn., February 03, 2026--(BUSINESS WIRE)--Securian Financial today announced the launch of AI-enabled instant claims decision and benefit payment capabilities for its supplemental health ...

Health insurance companies increasingly use artificial intelligence (AI) and machine learning (ML; a branch of AI) tools—often developed, trained, and tested with real-world data—to accelerate claims, ...

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 ...

Months after the killing of a top health insurance executive unleashed Americans’ pent-up anger over denials of medical care, the industry announced Monday that it will take action to “streamline, ...

A new report from the country's two leading insurance industry organizations alleges providers are "flooding" the No Surprises Act dispute process to score higher payments. The report was released ...

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 ...

In most insurance companies, the claims department is where promises are tested. It is also where costs, controls and customer expectations collide. A single claim can pass through intake teams, ...