Ninth Circuit Upholds Blue Shield's Claim Denial for Mental Health Treatment
Learn how the Ninth Circuit upheld Blue Shield's claim denial, stressing the importance of medical necessity in ERISA plans and compliance in insurance.
Massachusetts Health Insurance Claims: 20% Denial Rate in 2024
In 2024, 20% of commercial health insurance claims in Massachusetts were denied, raising concerns about administrative inefficiencies and compliance standards.
North Mississippi Health Services Ends Medicare Advantage Contract with United Healthcare
North Mississippi Health Services terminates United Healthcare Medicare Advantage contract due to claim denials, impacting 17,000 members and signaling challenges in payer-provider interactions in Mississippi.