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Nbadan
02-01-2011, 09:56 PM
Insurance company denies Veteran transplant over .02 cent error...



OKwk7gU1QtI

Where is Sarah Palin?

Anything you can do I can do better......I can do anything better than you..

The Reckoning
02-01-2011, 09:58 PM
did he die?

Nbadan
02-01-2011, 10:04 PM
did he die?

Have 1000's died because they were denied coverage?

The Reckoning
02-01-2011, 10:56 PM
Have 1000's died because they were denied coverage?

i honestly dont know. have they?

Wild Cobra
02-01-2011, 11:48 PM
Have 1000's died because they were denied coverage?

LOL...

These claims seem so stupid to me.

Tell me now. If everyone who needed a heart transplant were given one, where would they get all the hearts? To my knowledge, they are all used. To deny one person simply means someone else gets it, and someone else lives. The net loss of life becomes zero!

The Reckoning
02-01-2011, 11:52 PM
honestly i dont understand why everyone isnt an organ donor.

"when i die, i want to keep allll my organs all to my little selfy"

TeyshaBlue
02-02-2011, 10:13 AM
Insurance company denies Veteran transplant over .02 cent error...
Anything you can do I can do better......I can do anything better than you..

lol @ spinmeister.

You are aware that this happens with any administrated plan, right? Yes, even Medicare.
http://www.ama-assn.org/ama1/pub/upload/mm/368/reportcard.pdf

Percentage of claim lines denied:

Aetna 637,239 43,317 6.80% 03/01/2007 – 3/10/2008
Anthem 250,070 11,546 4.62% 03/01/2007 – 3/10/2008
CIGNA 263,728 9,060 3.44% 03/01/2007 – 3/10/2008
Coventry 20,487 590 2.88% 03/01/2007 – 3/10/2008
Health Net 4,975 193 3.88% 03/01/2007 – 3/10/2008
Humana 143,026 4,142 2.90% 03/01/2007 – 3/10/2008
Medicare 6,938,431 475,566 6.85% 03/01/2007 – 3/10/2008
UHC 1,127,691 30,177 2.68% 03/01/2007 – 3/10/2008

This doesn't mean Medicare is shitty, but it does illustrate that any administered plan is going to fall prey to administrative inefficiencies... ie. thresholds.

Nbadan
02-02-2011, 10:55 PM
Pfff...most Medicare denial of service is due to procedural errors in processing the paperwork by those filing claims, not because they underpaid a payment by 2 cents....try again....

Wild Cobra
02-02-2011, 10:58 PM
Pfff...most Medicare denial of service is due to procedural errors in processing the paperwork by those filing claims, not because they underpaid a payment by 2 cents....try again....
I'll bet the 2 cents isn't the whole truth over the matter too.

sickdsm
02-03-2011, 08:32 AM
honestly i dont understand why everyone isnt an organ donor.

"when i die, i want to keep allll my organs all to my little selfy"

I know in some states (maybe all?) people think checking a box on their drivers license makes then a donor and they feel all good inside. But it doesn't mean anything unless they do the paperwork not associated with the drivers lic.

DarrinS
02-03-2011, 08:34 AM
How can Dan worry about health care when HE knows the truthiest truth about 9/11?

ElNono
02-03-2011, 08:55 AM
I'll bet the 2 cents isn't the whole truth over the matter too.

Actually, I watched this in the news (A different outlet from this video), including a phone call to the insurance rep, and the 2 cents were indeed all the problem. The rep denied any wrongdoing and they actually reinstated the policy after being exposed for it. Obviously, the patient had to schedule a new transplant.

You have to wonder what happens if the news doesn't get involved. Going through the process of suing and what not would have been a fairly long process, and what happens with people that can't afford to sue?

All that said, I understand this is not the norm. But it's scary to see how easily you can fall through the cracks for a mistake you didn't do. I think we can do better than this.

sickdsm
02-03-2011, 09:23 AM
So being lazy i never checked this story out but I assume the guy underpaid his premium by 2 cents? 2 cents or 2 thousand, where do you draw the line?

TeyshaBlue
02-03-2011, 11:21 AM
Pfff...most Medicare denial of service is due to procedural errors in processing the paperwork by those filing claims, not because they underpaid a payment by 2 cents....try again....

You did read this part, right? "This doesn't mean Medicare is shitty, but it does illustrate that any administered plan is going to fall prey to administrative inefficiencies... ie. thresholds."

Denial of service is denial of service, dan. Try again.