Payer Billing Guides: Denials, Auth & Appeals

Navigate coverage policies, prior authorization requirements, and appeals processes for major insurers. Altair's payer-specific guides help you anticipate requirements and prevent denials at submission.

Aetna

Appeals Process Coverage Policies Denials Prior Auth Authorization Timeline Claim Submission

Anthem Elevance

Appeals Coverage Lookup Denials Portal Access Prior Auth Timely Filing

Blue Cross Blue Shield

Appeals Process Denials Prior Auth State Variations Claim Timelines Authorization Portal

Centene

Denials Prior Auth Appeals Coverage Policies Timely Filing

Cigna

Appeals Coverage Determination Denials Prior Auth EOB Explanation Authorization Requests

Highmark

Prior Auth Denials Appeals Coverage Lookup Authorization Timeline

Humana

Appeals Denials Prior Auth Coverage Lookups Authorization Timeline

Kaiser Permanente

Denials Prior Auth Appeals Coverage Determination Claim Submission

Medicaid

Appeals Denials Managed Care Prior Auth

Medicare Advantage

Appeals Denials Prior Auth Coverage Lookup

Molina

Prior Auth Denials Appeals Coverage Determination Claim Submission

UnitedHealthcare

Auth Portal Coverage Policies Denial Appeals Denials Prior Auth Payment Timelines

Workers Compensation

Denials Prior Auth

Third-Party Administrators

TPA Denials

Altair catches payer-specific denial patterns before submission. See how pre-submit claim scoring works.

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Information provided is for reference. Payer policies and requirements change frequently. Verify all coverage rules and prior authorization requirements directly with the applicable payer before claim submission. Altair does not guarantee coverage outcomes.