Health Insurance News How Often Do Health Insurers Reject Patients’ Claims No One Knows

AI vs. AI: Patients deploy bots to battle health insurers that deny care

In North Carolina, the nonprofit Counterforce Health designed an AI assistant to help patients appeal their denied health insurance claims and fight large medical bills. The free service uses AI ... Read More

Report: Pa. insurers denied 3 million claims in 2024, appeal rates remain low

State officials urge Pennsylvanians to use internal and external appeals after releasing new data showing low appeal rates. Read More

Did Your Health Insurance Claim Get Denied? AI Might Be the Culprit -- and the Fix

A North Carolina startup is leveraging artificial intelligence to generate personalized, clinically validated medical appeal letters that improve patient outcomes. Read More

How AI is helping patients fight back against denied health insurance claims

At the start of 2025, Tammy Capper received life altering news when she was diagnosed with kidney cancer. Her doctor recommended microwave ablation to treat her cancerous tumor, and she had the ... Read More

'Guilty until proven innocent': Inside the fight between doctors and insurance companies over 'downcoding'

Doctors say insurers are automatically downgrading their claims and paying less. Insurers say it’s their duty to prevent overbilling. In the beginning of the year, Dr. Terry Wagner’s office manager ... Read More