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 ...

We’ve all done it before: sat in a doctor’s office and filled out a lengthy form with our insurance information. The reason for all that information is to ensure your doctor can properly file a claim ...

While the appeals process is time-consuming, you can and should always appeal claim denials. Americans file appeals on as few as 0.2% of coverage denials under ACA marketplace plans, but appealing can ...

Your doctor submits a claim to your health insurance. The claim is denied. You might be justified in thinking the denial is due to a medical disagreement. After all, adjudicating what health care ...

A letter arrives in the mail. Oh, great: It’s from your health insurance company. It contains some variation on the phrase “Your claim has been denied” and possibly “You may file an appeal to ...