Newly released emails show that problems with Blue Cross Blue Shield of North Carolina’s claims processing system last year prompted the State Health Plan to put the high-dollar contract out to bid — ...

Forbes contributors publish independent expert analyses and insights. I delve into the intricate workings of artificial intelligence. When an individual files a medical insurance claim, they expect ...

Despite claims processing being at the heart of the what insurers do, there is no standard format, legacy systems abound and some claims still arrive by mail. Yet, up to to 80 percent of all premiums ...