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

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 ...

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 ...

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

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 ...

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 ...

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 ...

Prior authorization reforms, increased biosimilar access and the future of the Medicare drug price negotiation program are among the American College of Rheumatology’s top concerns in a letter ...