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It's not just the insurance company in that case though, the doctor's office would have submitted an additional billing code for the appointment (which for some
by maxerickson 5y ago
It's not just the insurance company in that case though, the doctor's office would have submitted an additional billing code for the appointment (which for something like you describe should probably be treated as fraud).
- darkerside 5y agoThe original idea with insurance providers was that they were more educated than their customers, and since they were paying, they would be incentivized and better capable of negotiating with medical providers. Of course, this has proven not to be the case. Part of the reason is that insurance providers are legally prohibited from making profits beyond a certain proportion to what they actually pay for medical services. So now, they are actually incentivized for _higher_ medical costs.