When a health insurance company is deciding whether to pay for your medical treatment, the company generates a file around your claim. All the records associated with your case should be part of your ...

While the appeals process is time-consuming, you can and should always appeal claim denials. Americans file appeals on as few as 0.2% of coverage denials under ACA marketplace plans, but appealing can ...

Claim rejections for non-disclosure are not always final. Here is how documentation, timelines and doctor clarifications can ...

Health insurance has become necessary, with large and unpredictable health care costs always looming before each of us. Unfortunately, the majority of people have experienced problems when using their ...

The targeted killing of UnitedHealthcare CEO Brian Thompson in December became a turning point in the public's growing frustration with the health insurance industry. People began sharing stories ...

Millions of Americans in the past few years have run into this experience: filing a health care insurance claim that once might have been paid immediately but instead is just as quickly denied. If the ...

Health insurance has quietly changed over the last few years. Not in a flashy way, but in ways that actually matter when you ...

Federal data shows that health insurance companies denied more than 49 millions claims in 2021, but customers appealed less than 0.2 percent of them. Investigative journalists at ProPublica found that ...

Chandigarh consumer court ruled against Star Health Insurance. The company was found deficient in service for partially ...

Health insurance customers often overlook the Incurred Claim Ratio (ICR), a crucial indicator of an insurer's reliability.