Insurance: Cerebral does accept a variety of insurance plans, including Blue Cross Blue Shield, Cigna, Humana, Optum, and UnitedHealthcare, but it does not accept Tricare, Medicare, or state Medicaid.

The announcement marks the second extension of a requirement that patients get approval from the contractor before receiving ...

Rep. Dr. Greg Murphy (R-N.C.) hopes his personal ordeal with prior authorizations will help inspire Congress to act.

Technology hurdles, particularly lack of standardization and interoperability, often hinder the prior authorization process. Robust communication strategies can address those problems.

who is also lead author on a 2024 paper on using AI to refine prior authorization. Some form of cost containment is essential, but it needs to be easy, he said. He said that having a complex ...

“This bill actually starts to move the needle when it comes to prior authorization requests,” Klimesh says. “All too often myself and all my colleagues in this chamber hear from our local ...

AHN is the first health system to implement the fully automated, touchless prior authorization process, according to an April 28 news release. By entering a procedure order into the EHR, AHN can now ...

The U.S. Court of Appeals for the Eleventh Circuit has concluded that a successful False Claims Act (FCA) claim should ...

1 The new DOJ leadership has yet to express its views on that initiative, but cases filed in prior years and the ... to replace the long-standing Authorization to Operate (ATO) process as well ...

In their final performances of the season, BSO offers Shostakovitch’s response to tyranny and H+H delivers beauty, mischief, and fun. As the Boston Symphony Orchestra and music director Andris ...

Zynex Inc (NASDAQ:ZYXI) is restructuring its business to operate without TRICARE revenue, focusing on trimming excess costs and refocusing its sales force. The company maintains a strong balance sheet ...

UnitedHealth says it’s speeding up decisions on requests for care, known as prior authorizations, and reducing the number of medical services subject to those hurdles. The company is also trying ...