Appeals

Published on
February 5, 2025
The Financial Calculus of Wrongful Denials
data denials appeals money new-york
We share an interactive tool highlighting the critical role denials and appeals play in financial incentives in U.S. health insurance.
Published on
March 28, 2024
Announcing Our Medicare Appeal FOIA Request
announcement records-request FOIA CMS medicare medicare-advantage claim-denials appeals
Announcing a submission of a Freedom of Information Act public records request for Medicare data, prepared in collaboration with the Data Liberation Project.
Published on
November 28, 2023
Medicare Advantage QIC Appeal Outcomes
health-equity data appeals medicare medicare-advantage
We analyze data from the CMS Medicare Part C and D Qualified Independent Contractor appeal database.
Published on
October 10, 2023
California External Appeal Outcome Demographics
health-equity data appeals
We look into demographic trends in two California databases documenting outcomes of external appeals of health insurance denials.
Published on
October 10, 2022
The Lifecycle of an Appeal (Part 7)
appeals guide how-to
A guided tour of an insurance denial appeal. We walk through the life cycle of an appeal of coverage denial for the Anser ADA level test for Humira/Adalimumab levels. Part 7: Final Decision.
Published on
September 10, 2022
The Lifecycle of an Appeal (Part 6)
appeals guide how-to
A guided tour of an insurance denial appeal. We walk through the life cycle of an appeal of coverage denial for the Anser ADA level test for Humira/Adalimumab levels. Part 6: External Appeal.
Published on
June 20, 2022
The Lifecycle of an Appeal (Part 5)
appeals guide how-to
A guided tour of an insurance denial appeal. We walk through the life cycle of an appeal of coverage denial for the Anser ADA level test for Humira/Adalimumab levels. Part 5: Initial Appeal Response.
Published on
May 21, 2022
The Lifecycle of an Appeal (Part 4)
appeals guide how-to
A guided tour of an insurance denial appeal. We walk through the life cycle of an appeal of coverage denial for the Anser ADA level test for Humira/Adalimumab levels. Part 4: Initial Appeal.
Published on
May 20, 2022
The Lifecycle of an Appeal (Part 3)
appeals guide how-to
A guided tour of an insurance denial appeal. We walk through the life cycle of an appeal of coverage denial for the Anser ADA level test for Humira/Adalimumab levels. Part 3: Appeal Research.
Published on
May 19, 2022
The Lifecycle of an Appeal (Part 2)
appeals guide how-to
A guided tour of an insurance denial appeal. We walk through the life cycle of an appeal of coverage denial for the Anser ADA level test for Humira/Adalimumab levels. Part 2: Denial.
Published on
May 18, 2022
The Lifecycle of an Appeal (Part 1)
appeals guide how-to
A guided tour of an insurance denial appeal. We walk through the life cycle of an appeal of coverage denial for the Anser ADA level test for Humira/Adalimumab levels. Part 1: Background.