CLEVELAND — Nearly all health insurers use "prior authorization requirements," meaning your health provider has to prove why you need what they're prescribing to your health insurer. Health insurers ...

WASHINGTON — When Amanda Boley suffered cardiac arrest, she needed life-saving emergency transport to the nearest trauma center. Six weeks later, while still recovering, she received a $65,000 bill ...

HARRISBURG, Pa. (WHTM) — A solution to a long-running problem? Or a cure that’s worse than the disease? Depends on who you ask. Insurance pre-authorization — or “utilization management,” as the ...

We realize that most people are depending on insurance to cover the majority of the cost of gastric bypass. To expedite this, we will write a letter to your insurance company requesting a ...

With the murder of the UnitedHealthcare CEO sparking a debate on insurance companies denying treatment, a state lawmaker says it is time for New Jersey to give doctors the final say over which tests ...

Canton-area residents report care delays because of prior authorizations and denials. The Ohio State Medical Association has recognized physicians' growing discontent with third-party administrative ...

A hospital that offers free insurance pre-authorization services to doctors and patients who need imaging tests "could potentially" be doing so in violation of federal anti-kickback statutes, says an ...

When Paula Chestnut needed hip replacement surgery last year, a pre-operative X-ray found irregularities in her chest. As a smoker for 40 years, Chestnut was at high risk for lung cancer. A specialist ...

The aftermath of the Dec. 4 killing of UnitedHealthcare CEO Brian Thompson — a moment captured on video in which a gunman shot the father of two in the back on a Manhattan street — provoked an ...

If you’re seriously ill and depending upon a competent doctor to keep you alive, the last thing you want is an insurance company getting in the way. But doctors with the Pennsylvania Orthopaedic ...