Health insurers may refuse to pay for procedures, tests, medications, and more. If you think a service or treatment should be covered, you have the right to appeal the denial. Here’s how.

Bernstein now helps others navigate the complexities of medical billing. In the last two years, Bernstein’s health consulting ...

Advocates hold signs protesting health insurance denials during a news conference on Medicare Advantage plans in front of the U.S. Capitol in Washington, D.C., on July 25, 2023. Credit - Alex Wong ...

Level 3 Appeal: These are reviewed by the Office of Medicare Hearings and Appeals (OMHA). To file an appeal with the OMHA, the claim must be for a minimum dollar amount of $190 in 2025.