but do you have any evidence beyond intuition that those denials differ significantly in reversal rate? one would guess that things that are never going to be covered get denied and then never appealed but one would also guess that things that are never going to be covered don't get submitted in the first place. assuming that the rate of legitimate denials is higher among those claims never appealed, what rate of illegitimate denials is acceptable? why would denying even one person care that they're contractually entitled to receive be okay? why shouldn't insurance companies have to do what they promise to do and accept money for?
alt Hacker News
but do you have any evidence beyond intuition that those denials differ significantly in reversal rate? one would guess that things that are never going to be covered get denied and then never appealed but one would also guess that things that are never going to be covered don't get submitted in the first place. assuming that the rate of legitimate denials is higher among those claims never appealed, what rate of illegitimate denials is acceptable? why would denying even one person care that they're contractually entitled to receive be okay? why shouldn't insurance companies have to do what they promise to do and accept money for?