As millions of Americans struggle with paying for health care, doctors and health experts discuss how medical care is being ...

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 ...

If you paid out-of-pocket for residential treatment services after Anthem denied your request for coverage between the ...

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 ...

Tell you insurer you want to file an internal appeal, which can take up to 30 days. If the first appeal is turned down, the second step is an external review, which sends the dispute to an independent ...

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 ...

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 ...

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 ...

This story was originally published by ProPublica. ProPublica is a Pulitzer Prize-winning investigative newsroom. Sign up for The Big Story newsletter to receive stories like this one in your inbox.