For many physician practices -- especially those working with health maintenance organizations (HMOs) -- obtaining pre-authorization to perform certain treatments or procedures is a necessary evil: ...

Delaware Insurance Commissioner Karen Weldin Stewart has fined Blue Cross Blue Shield of Delaware $325,000 due to deficiencies in the health insurer’s nuclear cardiac imaging testing pre-authorization ...

Insurer will reduce required authorizations by 30%, easing access to some tests, surgeries and therapy.

Delaware's Pre-Authorization Reform Act aims to streamline the pre-authorization process for medical procedures and medications. The current process is criticized for being time-consuming, complex, ...

SEVEN NEWS. IN OUR HEALTHBEAT. TODAY, DOZENS OF HEALTH INSURANCE COMPANIES ARE COMMITTING TO MAKING IT EASIER FOR PATIENTS TO GET APPROPRIATE CARE. A NEW REPORT SAYS SEVERAL INSURERS WILL SIMPLIFY THE ...

A pre-authorization process for certain medical supplies has worked to bring down costs in sample studies and will help prevent questionable billing practices. That's the word from the Centers for ...

Pre-authorization screening and verification solution doubles its industry-leading payer policies, reaching more than 90% of covered lives ALPHARETTA, Ga.--(BUSINESS WIRE)--Today RelayHealth Financial ...

Jerome Fukuhara knew something was wrong with his heart when it got harder and harder to breathe while walking around the block. In February the 52-year-old Salt Lake resident went to his doctor, who ...

Medicare open enrollment is in full swing and big changes are on the way in 2026 for providers – from physician fee schedules to a pilot test of prior authorization requirements in some states. With ...