In a recent roundtable, the Department of Health and Human Services and executives from top insurance providers pledged to address longstanding concerns around prior authorizations, aiming to reduce ...

A bill intent on reforming the pre-authorization process in Delaware passed both chambers and is now under consideration from Gov. Meyer.

ZeOmega ®, the leading population health and interoperability technology company, today announced it was selected by the Massachusetts Health Data Consortium (MHDC), a nonprofit advancing health data ...

You must complete the Medicare Redetermination Request form if you’re appealing a claim denial by Medicare for the first time. This leads to the first phase of the Medicare appeals process.

In this week’s edition of InnovationRx, we look at health insurers' vows to improve prior authorization, Bell Labs’ IP commercialization, a new healthcare billionaire, a robot performing ...

UnitedHealthcare, Blue Cross Blue Shield and other health insurers plan fixes to prior authorization, a common source of consumer complaints.

Prior authorization specialists spend hours chasing down documentation, submitting forms and checking for updates.

Prior authorization is the process through which a doctor seeks approval from a person's health insurance plan before ordering a specific medication or medical service.

Most physicians surveyed expressed concern that health insurance companies’ use of AI is increasing prior authorization denials.

Policy makers should continue to provide clear rules of the road, increase transparency, apply more effective oversight, and accelerate the streamlining and modernization of processes.

Surescripts®, the nation's leading health information network, unveils the first-of-its-kind Touchless Prior Authorization technology, transforming pr ...

Understanding the reasoning and process of Medicare Advantage prior authorization can help you gain faster approval for a required prior authorization.