Insurance Topics | Medical Malpractice Insurance | NAIC
Nov 7, 2023 · Background Issue: Medical professional liability insurance, sometimes known as medical malpractice insurance, is a type of professional liability insurance that protects physicians and other …
What Is Medical Necessity? Medical necessity is a term used by health insurance companies to describe the coverage that is offered under a benefit plan. In the policy and benefit summary, the language …
What Is Prior Authorization? - content.naic.org
Nov 5, 2024 · If so, you or your provider can follow your health plan’s instructions to submit an appeal. For more information about how to appeal a prior authorization decision, contact your state insurance …
What is Balance Billing? Knowing the Difference Between In-Network …
Jul 14, 2020 · Health insurance can protect against large bills from health care providers, but in some cases, consumers with insurance face sizable bills. According to the Kaiser Family Foundation, in the …
How to Appeal Denied Claims When you use medical services, you or your provider file a claim to your health plan. Most of the time, the health plan will pay the claim, either directly to the provider or to …
Does Insurance Cover Prescription Weight Loss Injectables? - NAIC
Jul 31, 2024 · Some insurance plans require prior authorization before approval. It is up to each insurer and its chief medical officer to decide if these medications will be covered. Contact your insurer to …
Understanding Your Health Insurance Card - NAIC
Aug 27, 2020 · Keep your insurance card with you at all times. You’ll need to show your insurance card any time you receive health care services or talk to a health care provider (a doctor, for example) in …
Understanding Air Ambulance Insurance Coverage - NAIC
May 1, 2018 · What does air ambulance insurance cover? Speak to your agent to find out what coverage your policy provides. Typically air ambulance insurance will cover the medical care you …
What is the National Association of Insurance Commissioners? National Association of Insurance Commissioners (NAIC) is the U.S. standard-seting and regulatory support organization created and …
Health Care Bills: Filing Health Insurance Claims When you receive medical care, you usually pay the provider (doctor, hospital, therapist, etc.) your share of the bill. You expect your health insurer to pay …