He’s never getting out of there alive.

  • Reyali@lemm.ee
    link
    fedilink
    arrow-up
    8
    ·
    3 days ago

    Anecdotal observation I received from a doctor’s office indicates there may be some change in the insurance industry…

    Last month I saw a surgeon who does not take insurance, but her office helps people get all the pre-authorizations done to file an out-of-network claim. They told me that of the codes they bill, there’s one that used to have a 50/50 chance of getting approved. But after 12/6/24 they see it come back approved every time.

    Without more data to back this up I recognize it’s not enough to say anything for sure, but this does point to insurance companies more broadly approving claims.

    • finitebanjo@lemmy.world
      link
      fedilink
      arrow-up
      5
      ·
      3 days ago

      I’m glad you at least admit there is no significance without actual data to back the claim up. My guess is that denial rates are only getting worse with the prevalence of AI in form assessment and documentation industries, and especially with federal funding cuts and freezes to insurers.