More and more often care is gated by prior authorizations by insurance. This is because insurance companies have more and more often required many procedures to

More and more often care is gated by prior authorizations by insurance. This is because insurance companies have more and more often required many procedures to have a prior authorization before hand and will refuse to pay bills if a prior auth wasn’t obtained. My proposed policy would apply both to prior authorizations and post care claims. Post care claim denials can be serious too. If you need repeated treatments a denial to a claim can have an impact on your ability to receive subsequent treatments. I have a dear friend that was suddenly paralyzed, and now needs ongoing PT from specialists to work to regain use of their limbs. Their insurance has tried to get out of paying the bills several times (they’ve gotten it done so far, but each of the claims has been… a near thing). If one of those bills doesn’t go through, their ability to continue PT at this facility would almost certainly be impacted. So, yes, a claim denial may impact ongoing care in similar manner to a prior authorization denial. ——— Finally, I’d actually want to add criminal liability for what was described in this particular article. > “We literally click and submit,” one former Cigna doctor said. “It takes all of 10 seconds to do 50 at a time.” A doctor working for an insurance company issuing medical denials in this kind of a scheme should be facing jail time, not just personal liability or professional discipline.