To be clear, I'm not suggesting the facilities are getting ripped off. In reddit terms, Everyone Sucks Here. Facilities use every shady tactic to get people i

To be clear, I'm not suggesting the facilities are getting ripped off. In reddit terms, Everyone Sucks Here. Facilities use every shady tactic to get people in the door, so nobody should shed a tear for them. My overall answer is that companies that bill insurance live in a complex world. Insurance tries to dodge payouts and will pay the insured; the facilities try to jam billing. Perhaps an anecdote will be representative: I worked for one of the biggest providers, with dozens of facilities. They had a call center whose job it was to get insurance to approve another 3 days of treatment (30 day stay = 10 of these calls). Insurance companies don't staff their end, so the call centers were paying people to wait on the line for several hours, just to get treatment approved. (I ended up building a Twilio integration to queue up without a person on the phone.) This is just a shitty, awful area of medicine and business and insurance.