You Have a Right to Know Why a Health Insurer Denied Your Claim. Some Insurers Still Won’t Tell You.
3 years ago by spaceghoti to c/politics
Federal law and regulations require insurers to hand over exactly this sort of information in response to a written request. And they have to do it fast: Most people who get insurance through an employer should get the records, called claim files, within 30 days.
There’s just one catch: Some insurers aren’t turning files over like they’re supposed to. We followed ProPublica readers through the process with five different insurers. Several companies only shared documents with patients after we reached out.
Still beats letting the government make my health care decisions.
I'd much rather a profit-driven company be entrusted to do the right thing. That way if I don't like their decision, I can go fuck myself.
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This process is such a nightmare.
N letters back and forth then a bill stage where you realize something wasn’t paid for. Then an hour long phone call to start an appeal process asking for more documentation about a test ordered 5 months ago. The denials are handwaves.
Insurance in general is such a nightmare. I’m in the fortunate bucket where I’m well paid and have a decent plan. One kid with chronic conditions. Then the pain of every year being forced to figure out the different game.
save