I spoke to Blue Shield and have read my evidence of coverage documents... please help, I pay a lot for a gold PPO plan to ensure I don't get buried by a claim! Kyle Iverson: Hi Susan, we're sorry to ...

Recent federal and state efforts, as well as changes undertaken by insurance companies themselves, have attempted to improve ...

Millions of prior authorization denials are made annually, leaving many patients stuck in a convoluted appeals process. For doctors, these decisions are frustrating. For patients, they can be ...

North Mississippi Health Services has terminated its agreements with United Healthcare Medicare Advantage plans, ...

Earlier this week, the largest hospital in Alabama announced it was in contract disputes with the largest insurance provider ...

UAB and other hospitals have cited “below-market reimbursement rates, excessive claim denials and delayed payments.” ...

United Healthcare Medicare Advantage HMO plans do not cover out-of-network facilities and providers. Exceptions are generally ...

Commerce Department employees who were fired, reinstated, and fired again learned belatedly that their health insurance has ...

A bill hoping to land on the ballot in California would restrict insurance denials for physician-recommended ... on state and local government health care costs also ranges from the hundreds ...

Depending on your health insurance policy ... Insurers of health plans sold on HealthCare.gov denied 19% of in-network claims and 37% of out-of-network claims in 2023, according to KFF.