Caley Horan
@clyhrn.bsky.social
Historian of risk, uncertainty, insurance, astrology.
Reposted by Caley Horan
Insurance companies aren’t just players in the fight with doctors over money; they’re also the referees.
They produce their own guidelines on when to pay claims. If a doctor appeals a denial, insurers make all the initial decisions.
(Published April)
By @tchristianmiller.bsky.social
They produce their own guidelines on when to pay claims. If a doctor appeals a denial, insurers make all the initial decisions.
(Published April)
By @tchristianmiller.bsky.social
“Slow Pay, Low Pay or No Pay”: Trial Reveals How Insurers Try to Wield Power Over Doctors
Blue Cross authorized mastectomies and breast reconstructions for women with cancer but refused to pay the full doctors’ bills. A jury called it fraud and awarded the practice $421 million.
www.propublica.org
November 7, 2025 at 4:00 AM
Insurance companies aren’t just players in the fight with doctors over money; they’re also the referees.
They produce their own guidelines on when to pay claims. If a doctor appeals a denial, insurers make all the initial decisions.
(Published April)
By @tchristianmiller.bsky.social
They produce their own guidelines on when to pay claims. If a doctor appeals a denial, insurers make all the initial decisions.
(Published April)
By @tchristianmiller.bsky.social
Reposted by Caley Horan
I don't know who needs to know this, but Pro Publica has an online thing that will format a letter to your US health insurance company to demand the records behind a claim denial. (which the insurance is then legally required to provide in most cases)
projects.propublica.org/claimfile/
projects.propublica.org/claimfile/
Find Out Why Health Insurance Denied Your Claim
You likely have the right to access records that explain why your insurer denied your claim or prior authorization request. Use ProPublica’s free tool to generate a letter requesting your claim file f...
projects.propublica.org
March 22, 2024 at 1:25 PM
I don't know who needs to know this, but Pro Publica has an online thing that will format a letter to your US health insurance company to demand the records behind a claim denial. (which the insurance is then legally required to provide in most cases)
projects.propublica.org/claimfile/
projects.propublica.org/claimfile/