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For the love of everything that's fucking holy if you have a surgical procedure in January get them your 2026 insurance info!!!!
I'm getting tired of chasing people to prevent them from getting denials from THEIR insurance company!! Drives me crazy I have to call, text, myChart message ppl and still get no response. How do you emphasize how important this shit is to people who don't care!?!?!
You likely have the right to access records that explain why your insurer denied your claim or prior authorization request. Use ProPublica’s
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*PLEASE read this article*. This article was written November 19th of 2024.
I know it is factually true because I am the person who is on the receiving end of these very phone calls from Optum. This is my entire job, to deal with insurance denials for behavioral health providers. I can attest to how predatory, random and stupid these denials are and how I had suspected all along it was some "set point" in the system that was triggered when "too many" visits were reached.
Please keep in mind that a) UHC/Optum entered into a contract with the PATIENT who PAYS FOR ACCESS to these services, b) UHC/Optum entered into a contract with the providers who it accepts into it's network and pays for these services.
This is NOTHING but limiting care to people who need it, want it and asked for it and then also screwing over the providers it contractually agrees to pay for these services.
A health insurance company's main objective in this day and age is to take your money and figure out inventive and evil ways to keep it. It is NOT to help provide care. They don't care about you, and therefore, you should not care about them. ANY of them.
United used an algorithm system to identify patients who it determined were getting too much therapy and then limited coverage. It was deeme
TOO SOON?