Claims chaos: barriers to health insurance: Prior authorization, denials & appeals

NAIC Consumer Liaison Meeting
August 11, 2023

NAIC Consumer Reps. Carl Schmid and Deb Darcy discuss barriers consumers face in accessing healthcare through the high number of prior authorizations and the appeals and denials process, and request the NAIC develop a workstream that improves data collection, and consumer awareness of the appeals process,  update model laws, and better enforcement of  federal and state laws and regulations.

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