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Old 01-23-2024, 12:39 PM
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notEnuf
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Joined APC: Mar 2015
Position: stake holder ir.delta.com
Posts: 10,062
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Originally Posted by formerdal View Post
Any one else had a major medical claim denied and had to go through the appeals process? I had an acute Gallbladder attack requiring removal back in August last year. The hospital has submitted multiple high dollar claims to the tune of 50K plus that are being denied due to lack of medical neccesity. Just curious about any other experiences like this. Im sure im opening Pandora's Box...
Who and how is the medical neccesity decicion made at the time of care? I've heard a few of these stories but don't have any details. Absolutely bu11$hit.
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