Posted on Feb 5, 2023
Fighting back against health insurance denials
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Navigating the American healthcare system can be a challenge.
Every year, insurance companies reject millions of claims by patients seeking many types of treatment — everything from MRIs and surgeries to medications. And appealing those denials can be challenging.
A study by the Kaiser Family Foundation found that patients under the Affordable Care Act only appeal about 0.1 percent of claims that are rejected.
A new investigation by ProPublica and Capitol Forum looks into the world of health insurance denials, and what that appeal process looks like.
Every year, insurance companies reject millions of claims by patients seeking many types of treatment — everything from MRIs and surgeries to medications. And appealing those denials can be challenging.
A study by the Kaiser Family Foundation found that patients under the Affordable Care Act only appeal about 0.1 percent of claims that are rejected.
A new investigation by ProPublica and Capitol Forum looks into the world of health insurance denials, and what that appeal process looks like.
Fighting back against health insurance denials
Posted from the1a.org
Health
Medical
Insurance
Posted >1 y ago
Responses: 3
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PO1 William "Chip" Nagel good day Brother William, always informational and of the most interesting. Thanks for sharing, have a blessed day!
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It definitely is a challenge. No doubt regardless of what insurer you have. BTW, socialized medicine in Canada or the UK is NO BETTER. They have years long wait lists for procedures we get scheduled and done within a week.
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PO1 William "Chip" Nagel
I had No Problem with the "Socialized" Medicine in the UK, Worked Out very well for Me and My Family.
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A little trick I learned dealing with my own insurance carrier....When you call to dispute a claim, ask what the medical credentials of the adjuster is (90% of the time it's usually just some college intern trained to look for keywords). If they tell you they are not an RN or doctor, ask to speak with the HIPAA compliance officer as your medical records have been accessed by someone who is not a care provider. Your claim will almost always be approved on the spot.
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