Pennsylvania Consumers Have New Option to Appeal Insurer Denials

Thanks to a 2022 law, consumers across the commonwealth have a new option if a healthcare claim is denied. Consumers can now file an online appeal of insurer denials of healthcare coverage to the Pennsylvania Insurance Department (PID) using PID’s new appeal website. Pennsylvania took over the independent external review process from the federal government under Act 46 of 2022, which took effect January 1, 2024. According to PID, only a small number of individuals challenged claim denials in the past three years and a significant number of those appeals resulted in decision reversals. PID encourages individuals who believe that they were inappropriately denied coverage for a service to utilize the new process and appeal the decision.

The post Pennsylvania Consumers Have New Option to Appeal Insurer Denials appeared first on Pennsylvania Office of Rural Health.

Related Articles

5 Essential Frameworks for Preventing Violent Child Death

The U.S. has a violent child death problem. Developing strategies to prevent violent child deaths death from firearms and traffic crashes is a demanding task that requires consideration of numerous upstream, interrelated, and tangential issues. To help safety advocates develop strategies to prevent violent child death, we compiled five frameworks to help: Understand and explain …
The post 5 Essential Frameworks for Preventing Violent Child Death appeared first on Salud America.

What Are the Risk and Protective Factors for Violent Child Death?

Gun violence and traffic crashes may seem like unpredictable events. But they are not random. They are systematic. Data reveal trends and patterns in gun violence and traffic crashes that can help us identify risk factors and protective factors. This is especially important for addressing violent child deaths. So what does the data show? Join …
The post What Are the Risk and Protective Factors for Violent Child Death? appeared first on Salud America.

Pennsylvania Broadband Development Authority Approves Comprehensive Five-Year Action Plan To Expand Access Across the Commonwealth 

After meeting with hundreds of Pennsylvania residents, businesses and industry partners, PBDA incorporates feedback and finalizes plan to expand broadband infrastructure using $1.16 billion in federal funding  Pennsylvania Broadband Development […]
The post Pennsylvania Broadband Development Authority Approves Comprehensive Five-Year Action Plan To Expand Access Across the Commonwealth  appeared first on Pennsylvania Office of Rural Health.

Research: In Rural Areas, Latinos Face Poverty and Other Inequities

This is part of the Salud America! Achieving a Cohesive Culture for Health Equity in Latino and All Communities: A Research Review» Disparities in Poverty Exist across Geography Disparities in poverty rates also exist across geography: child poverty rates are highest in rural counties, at 23.2%, compared to large urban metro areas (21.2%), smaller metro …
The post Research: In Rural Areas, Latinos Face Poverty and Other Inequities appeared first on Salud America.

Addressing Rural Health Inequities in Medicare

Approximately 61 million Americans live in rural, tribal, and geographically isolated communities across the United States. These communities often experience significant health inequities. Compared to urban Americans, rural Americans are more likely to have heart disease, stroke, cancer, unintentional injuries, suicide risk, and chronic lung disease, and have higher death rates from COVID-19. As clinicians, […]
The post Addressing Rural Health Inequities in Medicare appeared first on Pennsylvania Office of Rural Health.