growsomethinggood ()@reddthat.comtoNews@lemmy.world•Inside the Company Helping America’s Biggest Health Insurers Deny Coverage for Treatments
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13 days agoIf you get denied for coverage for something you know is in your plan always ask for the name and credentials of whoever made the denial! If they are not an MD they are not supposed to make that call as that can be interpreted as practicing medicine (determining if someone gets treatment or not) without a license. Often insurance companies will back down if you assert that you need a medical professional to review the denial /your appeal of the denial. (YMMV/IANAL)
I’m hoping that “assist” here is a polite way of saying “keeping an eye on”. Maybe they’ll think twice about pulling shit with non police union folks around who could testify against them later.