Hi Gary, Those are excellent questions that I will research and and answer. I am sure that many states have different rules. I recall once having an anesthesia claim denied. I asked to appeal that decision. They put someone else on the phone who said, "Let's see here, NO, claim denied". I was a t work and the time there had more value than arguing on personal time. You see how it goes.,,,Alan
PS - I think comments are visible to any who get to substack. FYI
Alan, thank you for this. It's reimbursement driven by a profit motive. As you point out, many people don't have the time or ability to appeal such denials. So the onus is on the patient, often the person least able to devote attention to insurance runarounds.
Yes, let's advocate for universal healthcare. Politics is also the art of the possible. Are there any laws in place to penalize insurers for such (mal)practices? How should we advocate so that insurers act in good faith -- a lofty goal? Do insurers build in other barriers, such as forced arbitration that prevents class-action suits?
Hi Gary, Those are excellent questions that I will research and and answer. I am sure that many states have different rules. I recall once having an anesthesia claim denied. I asked to appeal that decision. They put someone else on the phone who said, "Let's see here, NO, claim denied". I was a t work and the time there had more value than arguing on personal time. You see how it goes.,,,Alan
PS - I think comments are visible to any who get to substack. FYI
Alan, thank you for this. It's reimbursement driven by a profit motive. As you point out, many people don't have the time or ability to appeal such denials. So the onus is on the patient, often the person least able to devote attention to insurance runarounds.
Yes, let's advocate for universal healthcare. Politics is also the art of the possible. Are there any laws in place to penalize insurers for such (mal)practices? How should we advocate so that insurers act in good faith -- a lofty goal? Do insurers build in other barriers, such as forced arbitration that prevents class-action suits?