Appeals

Announcing a submission of a Freedom of Information Act public records request for Medicare data, prepared in collaboration with the Data Liberation Project.

We analyze data from the CMS Medicare Part C and D Qualified Independent Contractor appeal database.

We look into demographic trends in two California databases documenting outcomes of external appeals of health insurance denials.

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.

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.

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.

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.

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.

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.

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.