Six months after Eric Tennant died following a protracted battle with his health insurer over doctor-recommended cancer care, ...

AI’s role in insurance is already spawning lawsuits and battles over its regulation. That's not slowing down its use.

Payers prior authorization denial rates must be publicly reported starting March 31, 2026, improving transparency for Medicare Advantage and ...

Have you ever walked into the pharmacy and been told that your prescription requires a prior authorization? But your healthcare professional prescribed something for you, and you brought in your ...

Fragmented handoffs and poor communication can leave patients navigating delays and confusion in prior authorization ...

Still, the idea of recouping that lost time and expense, particularly by charging patients on Medicare or Medicaid, is "very ...

Knowing how to file a car warranty claim can maximize your chances of approval. Learn how and when to file to reduce your ...

Sheldon Ekirch, of Henrico, Virginia, was diagnosed in 2023 with small-fiber neuropathy, a condition that makes her limbs and ...

Sheldon Ekirch is used to being disappointed by her health insurance company. That's why Ekirch, 31, of Henrico, Virginia, was stunned when she learned Anthem would finally have to pay for ...

Prior authorization is a standard process used by insurance companies to assess the safety, cost-effectiveness, and medical necessity of certain treatments. Certain medications, especially those on ...

Prior authorizations are required by insurance companies for some medications. This includes those that may have less expensive alternatives. The prior authorization process can take anywhere from a ...