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 ...

Filing a claim is generally a simple process: you fill out a form online or through an app, attach a receipt and your pet’s medical records, and wait. If everything checks out, the money could land in ...

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.

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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 ...

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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