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 ...

At claim time, insurers don’t reject the claim — they just pay their share, leaving you to fund the gap. That shock often ...

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

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 ...

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

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 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 ...

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 ...

India's insurance grievance system is buckling under pressure, with a significant surge in complaints, especially for health ...