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 ...

On Dec. 5, 2024, one insurer contacted ValuePenguin claiming that the denial rate listed in this article is not consistent with their internal records. We will update this article with more ...

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 ...

Insurance companies often deny claims. You can take these steps to help appeal an insurance denial. Knowing certain hacks and working with your healthcare team can help you get what you need for your ...

AT FIVE. I WAS SHOCKED BECAUSE, I MEAN, AT THAT POINT, YOU KNOW, WHAT IS THE POINT OF HAVING INSURANCE IF SOMETHING WAS DENIED? REBECCA STRAUCH WAS TOLD THAT A PROCEDURE WAS MEDICALLY NECESSARY AND ...

Health insurance has become necessary, with large and unpredictable health care costs always looming before each of us. Unfortunately, the majority of people have experienced problems when using their ...

Lexi Klomhaus was in the hospital when her health insurance changed—she’d just turned 26 and had been kicked off her parents’ plan. Despite endless calls to her new insurer, it took a week to get a ...

Insurance claim denials have risen 16% from 2018 to 2024, affecting access to essential medications like insulin and albuterol. Denials often result from formulary exclusions, step therapy, and ...

Macy is a writer on the AI Team. She covers how AI is changing daily life and how to make the most of it. This includes writing about consumer AI products and their real-world impact, from ...

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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 ...