Health Insurers Deny 850 Million Claims a Year. The Few Who Appeal Often Win.
Health Insurers Deny 850 Million Claims a Year. The Few Who Appeal Often Win.
6 comments
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its an annoying effing game. They deny to see if folks won't appeal and the more expensive it is the more they fight the appeal process to see if folks will quit. One good thing about the ruling not allowing debt to go on credit reports is its more pressure for the providers to try and get the claims done and paid by insurance. Many don't care to because they charge 10x what they get form insurance so if they can get you to pay %15 or more they come out ahead.
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I know someone who works in UHC's appeals department. They do in fact overturn the majority of denials which are appealed. Might just be selection bias, though, with only those who have the least ambiguous situations bothering to appeal.
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I'm eight months in trying to get an appeal started. They've been doing things that some people were calling appeals but they actually weren't, my doctors office is barely helping, and everyone has competing information about what is going on. Someone owes me $27,000 dollars and if this round of attempting to appeal doesn't go through I'm going to live the American dream of suing everyone. I hate it here
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the providers have gotten aweful with no support. both sides think you who have no access to the systems should somehow solve it all.
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That's 2 for every American.
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Worked in the industry in the late 90s. That's not how it worked then, and I seriously doubt that's how it works now.
6 comments