• bizarroland@fedia.io
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      3 days ago

      Especially when you consider that these claims are not being made by random people but by trained board certified physicians whose entire livelihood depends on them providing prompt and appropriate care for their patients.

      I feel like even 16% being rejected is very high

      • finitebanjo@lemmy.world
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        3 days ago

        Well, the claims are reviewed by physicians but they’re often not in the specialization of the care provided so they can make mistaken judgements and a great way to appeal it is to ask the insurance company for proof that the physician who denied the claim does specialize in the type of care being reviewed.

        Unfortunately most people don’t know that, less than 1% of denied claims are appealed.

      • Microplasticbrain@lemm.ee
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        3 days ago

        What is this comment supposed to bring to the discussion? Edit: bro is like im going to win this debate by having a very narrow defensible argument that 1 is smaller than 3

        • finitebanjo@lemmy.world
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          3 days ago

          I am the voice of “Don’t threaten to shoot up your local office building or post office.”

          • Microplasticbrain@lemm.ee
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            3 days ago

            Yeah you’re right, we shouldn’t have a system that requires people to go to extreme measures in order to get meaningful reforms.