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Company routinely denied coverage in very obvious cases. Like claiming gunshot to stomach not being an emergency etc. The company overall had claim denial rate
by qaq 2y ago
Company routinely denied coverage in very obvious cases. Like claiming gunshot to stomach not being an emergency etc. The company overall had claim denial rate of 32% which is double the industry avg.
- FireBeyond 2y agoUHC had several cases where they denied air ambulance transport for seriously injured car accident victims to a trauma center due to lack of pre-authorization. I'm a paramedic... "This is John, I'm a paramedic working on one of your patients who was hit by a truck. We would like to fly him to the hospital due to his multisystem trauma but we need your approval. His name? Hang on, let me find his wallet. No, that's Smythe, S-M-Y-T-H-E, sorry, it's a bit loud with the jaws of life in the background... Uhh, yes, sure, I can hold for a nurse consult..."