There's a hidden industry is making money by turning down doctors’ requests for payments, known as prior authorizations. A KFF survey found that roughly 6 in 10 insured adults have experienced ...

CLEVELAND — Nearly all health insurers use "prior authorization requirements," meaning your health provider has to prove why you need what they're prescribing to your health insurer. Health insurers ...

Aug 24 (Reuters) - Health insurer Cigna Group CI.N said on Thursday it would remove the use of prior authorization or paperwork required to get approval for insurance coverage for 25% of medical ...

HARRISBURG, Pa. (WHTM) — A solution to a long-running problem? Or a cure that’s worse than the disease? Depends on who you ask. Insurance pre-authorization — or “utilization management,” as the ...

A hospital that offers free insurance pre-authorization services to doctors and patients who need imaging tests "could potentially" be doing so in violation of federal anti-kickback statutes, says an ...

With the murder of the UnitedHealthcare CEO sparking a debate on insurance companies denying treatment, a state lawmaker says it is time for New Jersey to give doctors the final say over which tests ...

Doctors say getting procedures pre-authorized by insurance can lead to delays and sometimes deny patients needed care. A new law in New Hampshire aims to reform the process. Medical treatments often ...

WASHINGTON — When Amanda Boley suffered cardiac arrest, she needed life-saving emergency transport to the nearest trauma center. Six weeks later, while still recovering, she received a $65,000 bill ...

Canton-area residents report care delays because of prior authorizations and denials. The Ohio State Medical Association has recognized physicians' growing discontent with third-party administrative ...

ELK RIDGE, Utah County – Last summer, Neal Meredith had blood clots in his legs. "'We need to get you in now,'" Meredith said doctors told him. "'It's urgent enough. It's an emergency.'" But even ...

Michelle is a lead editor at Forbes Advisor. She has been a journalist for over 35 years, writing about insurance for consumers for the last decade. Prior to covering insurance, Michelle was a ...

Pet insurance can be a smart way for owners to secure financial protection for themselves and medical care for their pets. In exchange for a monthly fee to a provider (cheaper if paid on an annual ...