Counterforce Health Team

In New York, Aetna Is Denying Psychiatric Hospitalization Claims Even in Crisis Cases Across New York City, Buffalo, Rochester, and surrounding counties, patients insured by Aetna are facing denials for inpatient mental health stays — including hospitalization after suicidal ideation, panic attacks, or manic episodes. Common CPT/HCPCS codes involved: * H0018

In Alabama, Medicaid Patients Struggle to Access Neurology Even When Referred Across Montgomery, Birmingham, Huntsville, and rural counties like Greene, Wilcox, and Marengo, patients with Medicaid are being denied access to neurologists for serious conditions: seizures, migraines, movement disorders, and suspected neurodegenerative disease. “We submitted a neurology referral for a

Humana Denying Cancer Care in Illinois? You’re Not Alone In Illinois, patients insured through Humana, particularly on Medicare Advantage plans, are increasingly receiving denials for essential cancer treatments. This includes chemotherapy, radiation, and PET scans — services typically assumed to be covered. The most commonly denied CPT codes in Illinois:

Georgians Are Facing More Surgical Denials from UnitedHealthcare Than Ever Across Atlanta, Savannah, Macon, and rural Georgia counties, patients insured by UnitedHealthcare (UHC) are increasingly being denied coverage for common surgical procedures — even when they’re medically necessary and pre-approved. Commonly denied surgeries in Georgia: * CPT 47562 – Laparoscopic gallbladder removal

Cigna Prescription Denials in North Carolina: What’s Really Happening From Charlotte to Durham, and from Winston-Salem to rural counties like Bertie and Robeson, patients insured by Cigna are encountering growing barriers to accessing prescribed medications. These denials often disrupt treatment for chronic conditions, cancer, mental health, and even basic

Mental Health Treatment Denied in Florida? Aetna Patients Face a Pattern Florida is in the middle of a mental health crisis. From Miami to Orlando, Tampa to rural Panhandle counties, thousands of patients insured by Aetna are reporting denials for critical mental health care including therapy, psychiatry visits, and even

When Medicaid Says No: Mississippi Families Face Pediatric Surgery Denials In Mississippi, one of the poorest and most underserved states in the U.S., families relying on Medicaid for their children’s healthcare are facing a disturbing trend: denials of medically necessary surgeries. This disproportionately affects families in Jackson, Gulfport,

Cancer Care Denials in California: Anthem Patients Are Paying the Price In California, patients covered by Anthem Blue Cross are increasingly facing denials for life-saving cancer treatments including chemotherapy, radiation, and precision diagnostics. These denials frequently hit Los Angeles, San Diego, Sacramento, and rural oncology centers in the Central Valley.

Emergency Room Claims Denied in Texas: A Growing Crisis In Texas, patients are increasingly facing ER visit denials by UnitedHealthcare, even when the visit clearly meets prudent layperson standards for emergency care. This trend is especially prominent in major metro areas like Dallas, Houston, San Antonio, and Austin, as well

Recent federal legislation has brought significant attention to proposed changes in Medicaid funding and eligibility requirements. The Congressional Budget Office estimates these modifications could reduce federal Medicaid spending by hundreds of billions of dollars over the next decade, potentially affecting millions of Americans who rely on the program for healthcare