Many patients are hit with claims denials. But few challenge the decisions, study finds

Fierce Healthcare August 1, 2024
Paige Minemyer

Close to half of adults said they received a medical bill or a copayment for a service that they expected to be free or covered by insurance.

However, relatively few challenge these bills, a new survey from the Commonwealth Fund shows.

Researchers polled more than 7,800 American adults and found that 45% of insured, working adults were hit with an unexpected bill or copayment, and 17% said that their insurer denied a claim for a service ordered by their doctor. Fewer than half of these people, though, challenged these costs, according to the survey.

In more than half of cases (54%), the bill or copay was not challenged because the patient didn’t realize they had the ability to push...

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