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For-profit insurance companies deny claims to benefit the shareholders to whom they’re beholden. In many cases, that’s us.

The prior authorization was denied. What’s more, in an unusual move, the insurer declined to allow a “peer-to-peer” review of her case between her physician and one working for her insurer.

I went to see my primary care doctor, and his office manager informed me that they are no longer accepting Medicare. I ...

New fees for claims appeals, paperwork rules for testing and time limits for certain services are novel ways to constrain ...

We have tips from California's insurance commissioner on how to contact the state and start the claims process, and how to keep you and your loved ones from falling for scams.

First-day administration moves also helped short-term health insurance and ended several Medicare efforts to change the way ...

The alleged mediclaim document leak of Saif Ali Khan showed a claim of Rs 35.95 lakh filed for his medical treatment, of ...

Saif Ali Khan’s sudden hospitalisation has once again underscored the unpredictability in life. Medical emergencies can ...

The FTC report found that from 2017 to 2022, three PBMs—UnitedHealth Group's Optum, CVS Health's CVS Caremark and Cigna's ...

Veronica Court and Austin Rivera, a couple living in Oakwood, lost their 13-month-old daughter, Violeta, in November due to a rare genetic disorder, after which they spent weeks trying to get coverage ...

I have unique insight about the UnitedHealthcare denials, based on working claims for health care providers for over 30 years. While United is top of the list for denials, it is not alone. Many other ...