The reasons claims are denied are many. Insurers can deny claims for services that arent covered by a patients policy, were coded incorrectly, had clerical errors, didnt have the required pre-authorization or were not considered a medical necessity.
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A lot of these denials are probably corrected. Or it could be something like they cover 3 days in the hospital instead of 4.
Their argument now (and has always intended to be this way) is -
Greedy Corporate Insurance companies put profit before people, therefore it is a perfect segue for NATIONAL Medicare-for-All.
ObamaCare Law made it illegal for insurance companies to deny policies for ‘PRE-existing conditions’.
It said nothing about ‘POST-Existing conditions’....................
“The reasons claims are denied are many. Insurers can deny claims for services that arent covered by a patients policy, were coded incorrectly, had clerical errors, didnt have the required pre-authorization or were not considered a medical necessity.”
not covered means the patient dint read their policy
incorrect coding and clerical errors WILL be paid with a corrected claim
no pre-authorization or not medically necessary is solely the fault of the practice
Story once again makes the private insurance company the bad guy. This is just more of the building propaganda crescendo for single payer.
Ohio Ping
I have good retiree insurance, and I’ve seen my insurance company deny claims from hospitals and doctors who treated me.
In each case it was because the claim was badly screwed up. In one case, I visited the ER with bradycardia. The ER doc I dealt with billed insurance for everything the hospital did, more than $8,000 for 90 minutes. The Insurance company made him charge for his own work only, and the hospital had to charge seperatly for its work.
The ER transferred me to a hospital with a cardiac specialist clinic. The screwed the claims up, too. Double billing only scratches the surface of what they did wrong. Insurance eventually paid hospital over $45,000.
OHIO PING!
Thanks to FREEPER Pontiac for bringing this in for the Ohio PING list.
“Business Ohio insurers deny 20% of Obamacare claims”
http://freerepublic.com/focus/f-chat/3742078/posts
Please let me know if you want on or off the Ohio Ping list.
Is there anything good about ObamaCare at all? Even one tiny little thing?
I’ve not seen it if there is