Health insurers selling Affordable Care Act (ACA) plans on the federal health insurance exchange denied on average one out of every five claims requested for medical services in 2023, according to a ...

Insurers poked holes in the KFF’s methodology — a spokesperson for UnitedHealth called the study “grossly misleading” — to ...

Many were quick to point out that Americans are fed up with health insurers and their tendency to deny claims — despite this idea being taken to a tragic extreme. Of course, the fact that health ...

The share of in-network federal health insurance exchange plan claims denied in 2023 was the highest since 2015, according to ...

People can also ask for an expedited appeal if they are in urgent need of care. Minzer said an expedited appeal could be ...

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

The prior authorization was denied. What’s more, in an unusual move, the insurer declined to allow a “peer-to-peer” review of ...

In the wake of the December 4, 2024 fatal shooting of UnitedHealthcare’s CEO Brian Thompson, questions were raised about insurance claim ...

“The impact of claims denial is widely recognized by enrollees,” the report says. It cited survey results showing a majority of insured adults experienced an issue using health ...

The Office of Personnel Management's 2026 Federal Employees Health Benefits program roadmap focuses on cutting red tape for ...