What historically slipped through unnoticed can now trigger a lawsuit, a DOI complaint, or an automatic AI-generated appeal.

CURE Insurance denied a claim from a Michigan woman whose car was stolen out of her driveway and later found totaled.

A woman thinks her routine blood tests are behind her when she receives an explanation of benefits showing zero patient ...

By using Kyber Flows and event-driven automation, Aspire moved compliance-driven correspondence out of adjuster ...

Reaching State Pension age can bring big financial changes. Most people stop paying (NI), even if they continue working, and ...

A claim denial isn't the end of the road. You can still file an appeal.

One reader express frustration with Cleveland Clinic's scheduling, leading his family to seek care elsewhere. Writers voice strong opinions on various political topics, including the president's ...

Chief executives from some of the largest employers in the US urged federal, state and local officials to pull back from ...

As we move into 2026, the citizens of Louisiana need to take a hard look at the reality of the "No Pay, No Play" expansion enacted under Act 16. While proponents claim this is "tort reform" designed ...

In contrast, their attorney said, it took the school district only a few days to put retirees on Aetna's Medicare Advantage plan in 2023.

Sizwe-Hosmed Medical Scheme has accused its administrator 3Sixty Health of defrauding it of nearly R71-million ...

When your homeowners claim is denied, the shock usually gives way to a single regret: you wish you had a thicker paper trail. The right records, photos, and receipts will not only help you appeal a ...