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 ...

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 ...

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 ...

We realize that most people are depending on insurance to cover the majority of the cost of gastric bypass. To expedite this, we will write a letter to your insurance company requesting a ...

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 ...

These health care hurdles can stand in the way of getting treatment your doctor says you need. Here's what to know about how ...

When Paula Chestnut needed hip replacement surgery last year, a pre-operative X-ray found irregularities in her chest. As a smoker for 40 years, Chestnut was at high risk for lung cancer. A specialist ...

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 ...

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 ...

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 ...

If you’re seriously ill and depending upon a competent doctor to keep you alive, the last thing you want is an insurance company getting in the way. But doctors with the Pennsylvania Orthopaedic ...

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 ...