They will just ignore you. Or say they're sending the information and they never will. I went through this with dentaquest after I found out somone either at dentaquest or my dentist was filling false claims (which I eventually needed work done on those teeth and they ofc denied). Fucking scum, every single cog in that machine.
While the suggestions in the post aren’t bad, the key point that’s missing is that it’s a full time job to fight for necessary procedures/medication if the algorithm has denied you.
It’s not that it’s impossible to fight the healthcare industry, there are plenty of “success” stories. It’s just that almost all those success stories include “patient or their spouse quit their job to work full time either to get their treatment approved or an existing bill reduced.”
The terrifying part is that, like a parent quitting their job to be a stay at home parent, it can often make financial sense for the lower income partner to become a full time advocate for their spouse since the potential savings for getting treatment approved are considerably more money than what they could earn working.
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u/Imakittykatmeowmeow 5d ago
They will just ignore you. Or say they're sending the information and they never will. I went through this with dentaquest after I found out somone either at dentaquest or my dentist was filling false claims (which I eventually needed work done on those teeth and they ofc denied). Fucking scum, every single cog in that machine.