When a health insurance company is deciding whether to pay for your medical treatment, the company generates a file around your claim. All the records associated with your case should be part of your ...

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.

We’ve all done it before: sat in a doctor’s office and filled out a lengthy form with our insurance information. The reason for all that information is to ensure your doctor can properly file a claim ...

A letter arrives in the mail. Oh, great: It's from your health insurance company. It contains some variation on the phrase "Your claim has been denied" and possibly "You may file an appeal to ...

Insurance claim denials have risen 16% from 2018 to 2024, affecting access to essential medications like insulin and albuterol. Denials often result from formulary exclusions, step therapy, and ...

ProPublica is a nonprofit newsroom that investigates abuses of power. Sign up to receive our biggest stories as soon as they’re published. Want to request your claim file? Visit our free Claim File ...