Posts

Health care claim denial

Image
  When I went looking for denial rates, I was shocked, shocked I was,    to find United Health Care denied 1/3 of all claims, according to ValuePenguin which did comparative rating of insurance corporations. The office manager for my primary care doc confirmed this with her assessment UHC was the worst to deal with. So, I started digging deeper. https://blog.persius.org/investigations/claims_denials is a highly useful data source about denials, as this picture shows: So, it happens frequently, even though Oregon is one of the least worst for denials. And, folks don't appeal often enough, as the report shows: "While claims denials occur frequently, internal appeal rates are vanishingly low; this fact remains true across all categories of denial, so far as can be told from the data which reports sufficient detail to make such a determination. Among internally appealed claims denials overturn rates are high. The monetary value historically recouped in the observed data ...