this post was submitted on 18 Dec 2024
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The worst part is, they actually hire doctors to analyze claims and they're the ones making the decisions whether the claims are accepted or not.
Edit: clarification
I'm sure the doctors stick with reviewing claims for which they have a lot of experience, spend the time to actually review the patient's specific scenario better than the doctor who saw the patient, and aren't financially incentivized to deny as many claims as possible.
Yeah that's what I was getting at. For some reason I'm being downvoted for saying how things actually work?
The person you’re responding to was being sarcastic. They’re bottom of the barrel doctors practicing outside their specialty and have a financial incentive to deny claims.
Yes I know! That's what I'm trying to say.