Message Font: Serif | Sans-Serif
No. of Recommendations: 3
The initial approval of a claim is commonly done by somebody without medical training. The patient in this case should/will appeal, and will get his doctor to support his appeal. If that doesn't immediately work, he should/probably will contact the press, local TV station, etc. and let the insurance company know this is what he is about to do.
He will win his claim very quickly, assuming there was a legitimate, unpredictable reason he was 6 days in ICU.
It is not cost-effective for a trained medical person to be reviewing every single claim. So guidelines are set up, which cover most cases. If you have one of the outlying cases, you have to go up the food chain a ways, but the system basically works.

Best wishes, Chris
Print the post  


When Life Gives You Lemons
We all have had hardships and made poor decisions. The important thing is how we respond and grow. Read the story of a Fool who started from nothing, and looks to gain everything.
Contact Us
Contact Customer Service and other Fool departments here.
Work for Fools?
Winner of the Washingtonian great places to work, and Glassdoor #1 Company to Work For 2015! Have access to all of TMF's online and email products for FREE, and be paid for your contributions to TMF! Click the link and start your Fool career.