Doughnut chat is here to help. Fight Health Insurance launches free AI billing chat for patients and providers, and adds ...

If your insurer refuses to pay for a treatment or procedure that you believe should be covered, use our guide to appeal.

The Nebraska Legislature passed the Ensuring Transparency in Prior Authorization Act last week which is now headed to ...

In healthcare, insurance companies use prior authorization (PA) to determine whether a prescribed treatment, medication, or ...

Prior authorizations are standard this time of year as insurance changes. They’re essentially a request from your insurance ...

Prior authorization has its origins in the 1960s ... diagnostic notes as well as their reasoning for requesting the denied treatment. In your appeal letter, you can also include a personal statement ...

The January electronic prior authorization rule ... AHA sent a Nov. 11 letter to CMS urging it to step up its enforcement, including by increasing its audits of Medicare Advantage plan denials ...

Prior authorization is the process through which a doctor seeks approval from a person’s health insurance plan before ordering a specific medication or medical service. Original Medicare (parts ...

In health care, physicians are accountable for outcomes, patient access, satisfaction and costs. However, prior authorization ...

If you or someone you know has experienced the frustration of a delayed medical procedure or a denied prescription due to prior authorization, you’re not alone. That’s why Indiana lawmakers ...

In addition, the prior authorization requirements only apply ... and lacks reasonable justification," he wrote in a December 29 letter to the agency. "The decision to issue a broad discretion ...