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Joined 11-11-11, id: 3421071, Profile Updated: 11-11-11
Although many things have changed with 30 years, health insurers are nevertheless inventing new and creative ways to avoid paying providers. Companies still routinely deny, underpay or even delay payments, both to help practitioners and hospitals. The cited article is about a settlement against this major carriers for these kind of offenses in California. Many of the techniques are not brand-new. Legitimate bills are not paid, and inquires are generally met with old standby tips like rude, under-trained employees, multiple similar sounding plans, and slow payments. However the insurance companies have a very powerful new weapon, mind-numbing complexity. Smart computer scientists have built billion dollar systems to exponentially increase the requirements for claim distribution. Any deviation from these arcane rules will be identified and flagged being a reason for denial. Practise is further complicated as a result of frequent and ambiguous principle changes, which are often not published, and can only be inferred from the pattern of rejections. My websites: uggs outlet