Have you ever been ping ponged between your doctor and health insurer when a claim has been denied or processed incorrectly? I have. It's stressful. Even the easy to correct errors take time and persistence. It needs to stop.
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Currently doing this now. Been fighting over a procedure that was supposedly 💯 covered now they miscoded it and they want to charge me $1,000. It was pre approved. Been fighting since July. It is exhausting.
My wellness bone scan was coded as "menopausal disorder" instead of "osteoporosis screening" and I found that doubly insulting. Menopause is not a disorder.
I'm not playing the game. If I die, that's it. Lawyer will be standing by. I share a body with a genetic condition that does not show up on labs and nothing can be done. Been called a liar my whole life.
Boy I have. 96 phone calls between me and the insurer (Wellcare, interestingly) to get my medication covered. No matter what my doctor and I did. I filed a complaint with our state insurance division and got the number for their corporate legal department. I'm like a dog with a bone.
Absolutely. I think it's really pathetic that these medical billers and office staff can't figure out how to do the job they needed to get certified for! Typical American workers though from my experience!
Yes. And its horribly stressful. Why do insurance companies have in-network providers if they are going to deny their authorizations with quack drs who have never seen the patient? The quacks often don't even review the notes or pictures. They get paid to say no. It's a cruel racket.
Yes. My chemo was inpatient because of the type of drug used. Every round was denied at least once because chemo is an industry standard out patient procedure.
And when I finally got my dr to order a port instead of having to get a picc line for every admission, insurance denied it as not necessary. If you haven't ever had a picc line they are fucking torture
I worked in the industry so therefore, I knew better than to even try to get care. I avoid it at all costs. Finally, my heart had to be fixed because I let it go as long as I did, but my insurance company actually paid my claims because I was too poor to pay them and they approved me.
Thank you! Both my insurance issues were fortunately fixed. I do think that many people won't bother contesting nor realize when there is a mistake, and lots of money needlessly gets paid.
I have a history of cancer on both sides of my family. My cousin died of colon cancer right before his 40th birthday. Insurance said it wasn't necessary for me to be screened for colon cancer before I'm 50. They said a 1st cousin dying of cancer wasn't a close enough relation to me to warrant worry.
OMG yes. I had a nightmare year where my neurologist in one system quit, my system referred me to an out-of-state system 25 miles from the first system, and between the two you couldn't pass a file or authorization form without at least 25 frantic phone calls and/or offers to courier the doc myself.
I literally work in medical billing and I can struggle with this. I have asked so many times 'how could you expect someone who doesn't work in medical billing to be able to do this?'
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