Providers Frustrated with Payers Over Claims Denials

Feb. 19, 2025
A survey conducted by Intelliworx highlights frustrations by healthcare providers over having to justify medical treatments

According to a new survey by Delaware-based Intelliworx, healthcare providers chafe when insurance companies second-guess their medical decisions.

Nearly 74 percent of providers stated that health insurance companies decline to cover prescribed treatments at least some of the time. Furthermore, 36 percent said this happens “frequently” or “very frequently,” the study showed.  

Moreover, almost half of the providers indicated the time intensity of persuading insurers to cover prescribed treatment plans is too much. Of these providers, 20 percent expressed strong dissatisfaction with the amount of effort it takes to deal with insurance providers. 

Half of the providers surveyed said that employers could do more to ease the burden of the insurance demands they face.

“While many providers say their employers are supportive, there is a substantial percentage who say employers could do more to help them manage this challenge. What’s more, the frustration has grown to the extent that nearly 4 in 10 providers have considered quitting,” Intelliworx reported.

The study surveyed 211 U.S.-based healthcare providers between January 30, 2025, and February 4, 2025.

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