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Insurance Denial - Articles

You Can Fight Medicare or Insurance Denials and Get the Atrial Fibrillation Treatments or Medicines You Need by Mellanie H. Patient Expert Posted Tue 22 Dec 2009 6:00am If you have a problem getting Medicare, Medicare Advantage, or your health insurance plan to cover an atrial fibrillation treatment, such as an afib medication, catheter ablation, or mini maze surgery, you don’t have to take “ no ” for an answer. You can push back by requesting a “coverage determination” or submitting an appeal. To learn how, ... Read on »
You Can Fight Medicare or Insurance Denials and Get the Atrial Fibrillation Treatments or Medicines You Need by Mellanie H. Patient Expert Posted Tue 29 Dec 2009 12:00am If you have a problem getting Medicare, Medicare Advantage, or your health insurance plan to cover an atrial fibrillation treatment, such as an afib medication, catheter ablation, or mini maze surgery, you don’t have to take “no” for an answer. You can push back by requesting a “coverage determination” or submitting an appeal. To lear ... Read on »
3September 28, 2009Darn, the Insurance Denial for Pre-Existing Condition and Waiting Period!!! by Lana B. Facebook Posted Mon 28 Sep 2009 12:00am I received a letter from my insurance company denying my Humira request due to a pre-condition waiting period. I am pulling together ALL the forms necessary for waiving or shortening the waiting period, but I am not thrilled with this. Has anyone gone through this frustration? I am frustrated mostly because of how long it wi ... Read on »
How to Fight Insurance Denials by Jennifer Jaff Patient Expert Posted Wed 06 Apr 2011 10:07am This article out today from the Associated Press quotes me heavily. It's a good explanation of the process of filing appeals. Enjoy! Jennifer Read on »
Self Insured Companies Don’t Want To Change Their Health Insurance Rules – Denials Could Still Occur by Medical Quack Patient ExpertHealth Maven Posted Wed 21 Oct 2009 10:02pm Wal-Mart and several other big companies don’t want to change, why?  When companies are self insured, they are paying for your healthcare and then there is usually a point where a carrier will kick in, but huge dollars amounts are spent before that happens and it could be somewhere around a million or so as a rough guess.  If you are not heal ... Read on »
HHS Publishing Insurance Company Denial Rates on Healthcare.Gov–Consumer “Click Wars” Like the MDs Have Had fo by Medical Quack Patient ExpertHealth Maven Posted Sun 24 Oct 2010 1:40pm If you have not been to the site, it s worth looking at and there’s one item in common that patients will have that is the same with doctors using medical records – too many clicks to drill down to the information, but over all it’s better than what was out there before with running analytics and giving some basic information.  In essence I ge ... Read on »
With Claim Denials, How Well Do Insurers Really Know What Their Own Policies They Sell Cover.. by Medical Quack Patient ExpertHealth Maven Posted Tue 06 May 2014 10:47am You can read the article below and this is typical of claim processing and what doctors go through.  You can see where the doctor supplied all the documentation on a surgical procedure for a breast reduction, not once but twice.  Doctors go through this all the time with claims and this is part of what they complain about with insurers.  The cl ... Read on »
Health Insurers Discriminate Against Women by Obi Jo Posted Tue 09 Feb 2010 12:00am Health Insurers to Women: Please, Don’t Apply Women generally pay more at every level for coverage than men, except at more advanced ages Women are ‘penalized’ for being the bearers of children Insurers defend these practices saying women use health services more frequently This is not the first time we have addressed th ... Read on »
Commercial Health Insurers Not Only Are Not Going Away, They Shouldn't. Here's Two Reasons Why by JaanS Medical Doctor Posted Mon 15 Jul 2013 9:37pm Hugging a health insurer It's an old conservative joke, but what is the one key difference between health insurers and terrorists?  Answer: liberals only occasionally attack terrorists. For the latest example of the continuing disdain for health insurers, check out this rather typical July 5 Washington Post article " Is th ... Read on »
Plastic Surgeon Performs Wound Repair Surgery-Approved by Health Insurance Company-Later Denied When Claim Data Clashed With the by Medical Quack Patient ExpertHealth Maven Posted Thu 12 Aug 2010 8:38am Plastic surgery is not always a nose job or something cosmetic and there are cases such as this one here with a patient who literally had a big gaping wound that required surgery to heal properly.  When you read below about the size where you could put 2 hands inside the wound?  This sounds to me like a major need for repair as one could be su ... Read on »