Health insurance companies don’t always pay for items the first time coverage is requested, and they don’t cover everything they’re asked to. You, the consumer, may need to file an appeal to get the ...

Changes mandated by the Patient Protection and Affordable Care Act will require all Medicare fee-for-service claims to be submitted within 12 months (one calendar year) of the date of service in order ...

If a person with Original Medicare disagrees with Medicare’s coverage decision, payment decision, or payment amount, they can complete and submit a Medicare appeal form. When a doctor, healthcare ...

During Medicare’s “dark days,” medical providers can’t access Medicare for billing, eligibility verification, or questions about coverage. This may result in claim processing delays, which could ...

Dear Toni: My husband recently retired from his job, and because I am over 65, I need to sign up for Medicare. I went to the local Social Security office with the proper documents to enroll in ...