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

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

Learn how to handle an insurance denial effectively. Discover steps to appeal and protect your interests. Click to find out ...

Investigative journalist Nicole Grigg exposes the growing backlog in Arizona's unemployment insurance appeals process, with a ...

The Finance Ministry proposes major insurance ombudsman reforms. These changes aim to strengthen policyholder protection and ...

As states strive to curb health insurers' use of artificial intelligence, patients and doctors are arming themselves with AI ...

Health insurers have used AI to make decisions on medical claims. Now, patients are using the technology to fight denials.

Several insurers are automatically downcoding -- and, therefore, paying less for -- claims for non-procedural office visits, a practice that provider groups said is unfair and may be anticompetitive.

"Congress designed the No Surprises Act to protect American patients from exorbitant, unfair billing practices, not to pad ...

The Pennsylvania Insurance Department released its annual Transparency in Coverage Report to continue its work to provide robust transparency into the health insurance claims process. "Understanding ...

If you disagree with a decision made by Medicare, you can appeal. But first, check to see if the culprit is something simple ...