Health Insurance News What To Do When Health Insurance Denies Care You Really Need

Prior authorization could stand between you and your doctor’s care and here's what it really means, how delays happen and what do if you’re denied

"Medically necessary" is often a four-letter word for patients. Read More

There are options when health insurance denies your claim | Here's where to go

AT FIVE. I WAS SHOCKED BECAUSE, I MEAN, AT THAT POINT, YOU KNOW, WHAT IS THE POINT OF HAVING INSURANCE IF SOMETHING WAS DENIED? REBECCA STRAUCH WAS TOLD THAT A PROCEDURE WAS MEDICALLY NECESSARY AND ... Read More

7 ways to fight back after your prior authorization is denied by health insurance

When Sally Nix found out that her health insurance company wouldn’t pay for an expensive, doctor-recommended treatment to ease her neurological pain, she prepared for battle. It took years, a chain of ... Read More

A cutting-edge surgery could fix a 12-year-old's scoliosis. Her insurance says it's too new to cover.

Surgeons who perform a type of spinal surgery for scoliosis, which the FDA approved in 2019, say insurance companies aren’t aligning their policies with the latest medical research. Read More

Was your health-insurance claim denied again? Maybe AI can help you.

When Joani Reisen goes without her medicine for attention-deficit hyperactivity disorder, she says it feels like “squirrels running everywhere” in her mind. This situation creates a cruel paradox in ... Read More

Did Your Health Insurance Claim Get Denied? AI Might Be to Blame

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

Try this when your doctor says 'yes' to a preventive test but insurance says 'no'

"My son was diagnosed with congenital CMV, a virus that can cause hearing loss. As part of this diagnosis, he will be required to have routine hearing tests every few months until he is 10 years old. Read More

More health insurance denials are being appealed in Connecticut. Here's what to know

The state's appeals process historically overturns close to 40% of denials, offering an impartial medical review. Read More

Was your health-insurance claim denied again? -2-

"There's no requirement of these chat boxes or these AI systems to keep your private health information private," Kelmar said. "It's out there now." Veigulis said his company, Claimable, does not sell ... Read More

Philadelphia area woman believes AI helped her fight health insurance denial

When Joani Reisen said her health insurance suddenly cut off coverage for her critical medication, she turned to an unlikely source for help. Independence Blue Cross (IBX) is the leading health ... Read More

DEMOCRATS' FAILED HEALTH CARE POLICIES: OBAMACARE FRAUD RESULTS IN BILLIONS FOR INSURANCE COMPANIES, DENIED CLAIMS FOR PATIENTS

The following information was released by the Committee on Ways and Means: President Biden's temporary COVID-era "enhanced" Affordable Care Act (ACA) tax credits have resulted in unprecedented fraud, ... Read More

Try this when your doctor says ‘yes’ to preventive test but insurance says ‘no’

“My son was diagnosed with congenital CMV, a virus that can cause hearing loss. As part of this diagnosis, he will be required to have routine hearing tests every few months until he is 10 years old. Read More