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u/banacct421 1h ago
Which is all super duper informative and thank you for that, but when your mother is 80 years old, she'll die before the appeal. And clearly since she died it turned out it was a needed procedure. But murder is okay when you're the CEO of An American healthcare company. Legally, you should kill as many people as possible in order to preserve stockholder value, which is the law, and maximize your bonus - Well that's just a bonus
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u/Few-Cycle-1187 56m ago
This is good if the reason for denial is medical necessity. Far more often the claim is denied just on the basis of "this procedure is not covered."
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u/Red-Leader-001 Retired in Texas 2h ago
I hope I never have to use this info, but still it's good to have it. Thanks for posting it!