That's the plan of RealMed Corp., Indianapolis, Ind., a health care claims resolution company. It is targeting the growing cost of the current paper-based system (estimated at 20% to 30% of the $1.1 ...

A pharmaceutical company has been instructed to pay $47 million to resolve false federal health care claims allegations. QOL Medical LLC (QOL), alongside co-owner and CEO Frederick E. Cooper, has ...

A Nigeria native who lives in Houston was indicted Friday on charges he sought $42 million in false Medicare and Medicaid claims by paying folks $100 each to sign blank health care forms he would ...

The nation’s major health insurers are promising to scale back and improve a widely despised practice that leads to care delays and complications. They say they plan to reduce the scope of ...

Health insurers promise changes to prior authorization process. What to know They will reduce the scope of claims subject to medical prior authorization, and they will honor the pre-approvals of a ...

UnitedHealthcare, CVS Health’s Aetna and dozens of other insurers say they plan to reduce the scope of health care claims subject to prior authorization, standardize parts of the process and ...