Optum Real allows providers to receive information about patients’ health benefits in real time, the company said.

A new report from the country's two leading insurance industry organizations alleges providers are "flooding" the No ...

They found that the automated diabetes GLP-1 prior authorization proportion of all diabetes GLP-1 claims grew by 17.5 percentage points, or 39.6%, from October 2024 to July 2025.

Frequent delays in insurance claim approvals at the time of hospital discharge have become a major source of frustration for ...

Claim denials can be a huge headache for healthcare providers. In fact, one survey found that private payers initially deny 15 percent of medical claims. Worse? Providers end up spending almost $20 ...

Insurance companies deny one in five medical claims for patients in New York, forcing individuals into lengthy appeals processes to secure coverage and delaying care, a new report shows. Insurers ...

Apart from open enrollment season, health plan members rarely think about their benefits. That changes instantly after an accident when the member's thoughts turn to out-of-pocket expenses and, if ...

Here are seven things to know about what is covered under New York State workers' compensation law and how to apply for ...