As a retired claims officer of a major casualty and surety insurance company, I found “Denying denials” (Reading Eagle, March 28) interesting and reminiscent of my insurance industry experience.

Insurers may ask if something is “medically necessary” before approving a claim. These companies may also deny coverage if something isn’t deemed so. Here’s what this means and what you can do about ...

Medical service providers are responsible for billing insurance companies for their patients’ services and procedures. To do so, they must file medical claims as part of the medical billing process.

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 ...

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DECISION, AND IT’S EASIER THAN YOU MIGHT THINK. IN 2023, NEARLY 1 IN 5 IN-NETWORK HEALTH INSURANCE CLAIMS FROM PLANS SOLD ON HEALTHCARE.GOV WERE DENIED. AND IT WAS EVEN WORSE FOR OUT-OF-NETWORK CLAIMS ...

All dental plans, regardless of their type, have limitations on the benefits and policy provisions that, at times, will result in a denial of coverage for verified covered benefits. One of the most ...

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When you suffer an injury due to someone else’s negligence whether from a car accident, slip and fall, or workplace incident navigating the legal system can feel overwhelming. While hiring an attorney ...