Skeptics note that efforts to streamline the much-despised prior authorization system have failed twice before.

Major companies had faced mounting pressure to stop denying or stalling authorization of coverage for treatments and ...

AI for prior authorization determinations in a recent survey. A Senate investigation shows they’re right to worry.

Months after the killing of a top health insurance executive unleashed Americans’ pent-up anger over denials of medical care, ...

Health insurers may refuse to pay for procedures, tests, medications, and more. If you think a service or treatment should be ...

In Medicare Advantage, fewer than 12% of denied prior authorization requests were appealed in 2023, according to a KFF analysis of CMS data. But nearly 82% of appeals resulted in the denials being ...

Top AI Solutions Transforming Revenue Cycle Management as Providers Face Financial Pressures and Demand Operational Efficiency, Poll Released at HFMA Annual DENVER, CO / ACCESS Newswire / June 24, 202 ...

His teaching license revoked due to his excessive text messages with a student, a former high-school assistant principal is asking the Arkansas Court of Appeals to restore his credentials after a ...

Another major insurance change coming next year will affect another large swath of Dushay’s patients: In January, BCBS ...