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I think the most absurd case of this was getting an insurance claim denied for relatively boring treatment. I had some wounds cleaned after an accident. I call
by sidewndr46 4y ago
I think the most absurd case of this was getting an insurance claim denied for relatively boring treatment. I had some wounds cleaned after an accident. I call and talk to the insurance representative. I am informed that they'll resubmit it and it will be approved. No additional information needed, no evidence, etc. They literally just deny most claims outright because most individuals are not going to call them about it.
- ifyoubuildit 4y agoI'm pretty sure I've experienced this as well, and the pressure must be pretty high to do that sort of thing "accidentally". It's basically free money for them.
- sidewndr46 4y agoIs it even illegal though? Would it need to be 'accidental' or could they just make it an internal policy?
- singlow 4y agoIt doesn't have to be a policy. Large beaurocracies naturally tend toward certain behaviors due to natural incentives. You must have policies/regulations to specifically counteract these tendencies.
- ifyoubuildit 4y agoSeems like the kind of thing that is probably illegal if they're overt enough, but I don't know. It's definitely not ethical or moral or admirable in any way.