Learn how to appeal Medicare’s IRMAA surcharges and manage income-related adjustments to avoid unexpected costs.

LINCOLN — On June 5, Gov. Jim Pillen signed the Ensuring Transparency in Prior Authorization Act (LB 77) into law.

One change the organization would like to see is for the Texas Department of Insurance to maintain a database of prior authorization approvals, denials, appeals, third party reviews and other ...

WINTER PARK, Fla.--(BUSINESS WIRE)--Humata Health, the leader in delivering AI-powered touchless prior authorizations, today announced that Allegheny Health Network (AHN) is the first health ...

However, you can take steps to appeal an insurance coverage denial. Prior authorization (PA) is a form certain insurance companies require to approve your prescription for coverage. A doctor will ...

is pointing to generative artificial intelligence as a potential way for providers to save money on prior authorization, appeals of claims denials and other revenue cycle management tasks.

This commentary discusses the current prior authorization (PA ... I set out to create a simple map for how to appeal your insurance denial: instead, I found a mind-boggling labyrinth.

The company's Optum Rx unit said Thursday the change will ... cut are equal to more than 10% of all so-called pharmacy prior authorizations, or the process by which doctors and patients seek ...

on these initial products accounts for about 10% of total prior authorization requests for the PBM. “Optum Rx is taking meaningful steps to simplify patient experiences and increase access to cr ...

"We are also responding to the environment." The cuts will account for more than 10% of OptumRx's total pharmacy prior authorizations, the release said. "All of the drugs in this program will go ...

Optum Rx is moving to eliminate prior authorizations on dozens of drugs, the UnitedHealth-owned pharmacy benefit manager said Wednesday, paring back a key pain point for physicians and patients at ...