The Electronic Frontier Foundation is seeking more information on the government’s agreements with participating vendors, ...

AI’s role in insurance is already spawning lawsuits and battles over its regulation. That's not slowing down its use.

Each prior auth transaction costs practices between $20 and $30 ...

"Medically necessary" is often a four-letter word for patients.

Knowing how to file a car warranty claim can maximize your chances of approval. Learn how and when to file to reduce your ...

The requirement for prior authorization was more common for patients identifying as Black, Hispanic and with non-Medicare insurance. HealthDay News — For patients with heart failure, prior ...

Artificial intelligence has become healthcare’s favorite scapegoat, especially in insurance. Every denied claim, every delayed approval, every inexplicable “not medically necessary” response seems to ...

NORMAN, Okla. (KFOR) — Dana Kelso Spradling says she’s dealing with an insurance nightmare, after the medication she had already received a prior authorization for is now being denied. The medication ...

Semaglutide (GLP-1) drugs like Ozempic are designed to treat type 2 diabetes, but are widely known for their effect on weight loss. Credit: Shahrzad Rasekh / CT Mirror Groups representing low-income ...

Prior authorization is a major noncost barrier, affecting 69% of insured adults, with 34% citing it as their biggest challenge. Delays and denials from prior authorizations significantly impact mental ...

There is a good reason for health insurers to occasionally require prior authorization for medical treatment. If a doctor prescribes an unusual, experimental, or expensive medication or procedure, the ...