February 28, 2024
Claims adjudicators rely heavily on data to make informed decisions. It’s the nature of the work: assessing a claim correctly requires a sizable amount of information, such as policy coverage details, underwriting terms, data on the claimant’s past health, reason …
April 17, 2020
A senior cybersecurity official with the Federal Bureau of Investigation said on Thursday that foreign government hackers have broken into companies conducting research into treatments for COVID-19, the respiratory illness caused by the coronavirus. FBI Deputy Assistant Director Tonya Ugoretz …
October 27, 2011
Modern health insurance policies and ERISA plans exclude coverage for experimental medical treatments. The question of what types of treatments qualify as experimental is problematic. Adjusting a claim for medical treatment which may be experimental can be a difficult exercise. …
August 19, 2011
Only 1 in 5 malpractice claims against doctors leads to a settlement or other payout, according to the most comprehensive study of these claims in two decades. But while doctors and their insurers may be winning most of these challenges, …