New York, December 17 (IANS). A recent survey has claimed that every year in America, insurance companies refuse to reimburse the money spent on treatment to millions of patients.
The Washington Post on Monday cited a survey of doctors and other health care providers.
According to Xinhua news agency, such surveys show that insurers are also demanding permission from doctors before providing treatment. Because of this, there is a delay in the care of patients. The American Medical Association has described this as “terrible”.
Whereas many states have also made laws to stop such things amidst increasing public anger. Insuring agencies protect against circumstances that deny coverage and pre-authorization. He says these measures are to curb rising costs.
The report said, “According to patients’ advocates, what is most frustrating is that insurance companies act without explanation and send claim denial letters without explaining the rationale for the denial.” Is.”
“The patient gets a mysterious message saying ‘this is not medically necessary,’ but no other explanation is given for it,” said Elizabeth Benjamin, vice president of the Community Service Society in New York. Elizabeth Benjamin runs a program in New York that helps people appeal these denials.
Benjamin said, “People are angry because it’s all a big secret. It’s wrong for us as a society to trust something that’s so bad. And also for us to trust those giant corporations.” It’s also difficult to make money by denying care to patients. That’s why people are so angry.”
It is difficult to know why and how often claims are being rejected or medical procedures undergoing preliminary investigation. Nationally, the rejection rate has ranged between 14 percent and 16 percent over the past five years, according to data from the National Association of Insurance Commissioners.
–IANS
PSM/AS
