Some medical procedures and treatments require prior authorization from your health insurance company, meaning you'll need pre-approval before you can receive care. This episode, health care reporter ...

While the cost of health care remains the dominant worry among Americans, the process of obtaining prior authorization from ...

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

A man with leukemia wrestles with his insurance company for access to medications to manage his excruciating pain. An oncologist is forced to delay needed treatments while arguing for health insurance ...

Prior authorization (PA) is a widely used insurance mechanism intended to ensure cost-effective, evidence-based care. However, in practice, it often imposes significant administrative and clinical ...

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 ...

A lot has been said about the outpouring of social media posts in the wake of the killing of insurance company CEO Brian Thompson earlier this month, with many of the posts describing horror stories ...

The New Mexico Office of Superintendent of Insurance urges all health insurance consumers to actively monitor the status of any prior authorization requests submitted on their behalf. Prior ...

BISMARCK, N.D. (KFYR) - UPDATE (2/26/2025): Sanford Health responded to Your News Leader with the following statement: "Sanford Health, including our health plan, is committed to meeting the ...

A Seattle-area cancer patient had a big scare on Friday when she almost missed a critical chemotherapy appointment. Hours before the treatment, she was told she didn’t have insurance authorization.

Delivers on promise of single platform to seamlessly address industry need for integrated patient referral management, insurance authorization and scheduling. SCI Solutions, the health industry’s ...