this is misleading and naive.
Posted on: September 25, 2024 at 11:15:14 CT
phrejd STL
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it's not the insurance dude deciding he knows more than your doctor or the insurance company deeming something not necessary.
it's probably that the billing people in the hospital didn't include the correct paperwork in what they sent to the insurance company, so the insurance company's only recourse is to deny it, forcing it back to the hospital to do the paperwork correctly, which they don't have time to do because they're dealing with all the other insurance company bull****, and round and round it goes...
it's a ****ing mess, but it's not someone in a cubicle making medical decisions. it's someone in a cubicle making process decisions because that's what their checklist says they have to do.