When a health insurance company is deciding whether to pay for your medical treatment, the company generates a file around your claim. All the records associated with your case should be part of your ...

A NC startup is leveraging AI to generate personalized, clinically validated medical appeal letters that improve patient ...

Health insurance has become necessary, with large and unpredictable health care costs always looming before each of us. Unfortunately, the majority of people have experienced problems when using their ...

While the appeals process is time-consuming, you can and should always appeal claim denials. Americans file appeals on as few as 0.2% of coverage denials under ACA marketplace plans, but appealing can ...

Medical service providers are responsible for billing insurance companies for their patients’ services and procedures. To do so, they must file medical claims as part of the medical billing process.

Millions of Americans in the past few years have run into this experience: filing a health care insurance claim that once might have been paid immediately but instead is just as quickly denied. If the ...

Social media outreach is not the conventional avenue through which to challenge health insurance-related delays and denials, but it can be effective.Composite: Glenn Harvey In December 2016, I was ...

A little-known provision in the Affordable Care Act allows patients to ask state-run panels to review decisions made by ...

A new website, FightHealthInsurance.com, is empowering Americans to take on health insurance companies over denied claims by simplifying the process of appealing claim denials. Newsweek has contacted ...

The Federal Court has ordered Bupa HI Pty Ltd ( Bupa) to pay $35 million in penalties after finding that the private health ...

The ruling relates to statements made by Bupa between May 2018 and August 2023 regarding members’ entitlements.