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 ...

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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 ...

When his health insurance company denied medical claims for his son’s hospital stay in Chicago, Brandon Kennedy got creative. “I called my local union, the health department, health branch of the ...

Insurance claim denials have risen 16% from 2018 to 2024, affecting access to essential medications like insulin and albuterol. Denials often result from formulary exclusions, step therapy, and ...

Few people realize how worthwhile appealing a denied health-insurance claim can be. Insurers in the U.S. process more than five billion payment claims annually, federal figures show. About 850 million ...

DENVER — Don't rush to pay out of pocket if your health insurance denies a test, treatment or medication that your doctor says you need. Consumer Reports says you have a guaranteed right to appeal ...

SPRINGFIELD, Ill. (WAND) — Many people have either received a health insurance claim denial or know someone impacted by the setback. An Illinois advocacy group is spreading awareness about how ...

Don't rush to pay out of pocket if your health insurance denies a test, treatment, or medication your doctor says you need. Consumer Reports says you have a guaranteed right to appeal that decision— ...

There’s a moment that inevitably comes after your insurance company has denied a claim. You’ve read your member handbook and pored over your policy, bills, and explanations of benefits. You’ve asked ...

ProPublica is a nonprofit newsroom that investigates abuses of power. Sign up to receive our biggest stories as soon as they’re published. It’s one of the most crucial questions people have when ...