I don't know who needs to know this, but Pro Publica has an online thing that will format a letter to your US health insurance company to demand the records behind a claim denial. (which the insurance is then legally required to provide in most cases)
They usually have something they can rely on legally. It's nice this is required, and I may use it to see the ways in which they recently delayed service for me. What I find is that they have shifted to relying on plausibly deniable intentional inefficiencies in their systems.
Thatβs definitely better than nothing, but Iβve been practicing in this exact area of law for 30 years, and the letter that they generate is deficient.
Nice. Imagine this country if both patients and caregivers got back the time they spend fighting with health insurers about nickel-and-dime shit. Iβm too lazy to go find the Lionel Hutz shuddering pic but it would be a good illustration here
Thing is, all they have to say is their doctor does not think the specific care you and your doctor want is needed, and the job of the insurance docs is to find anything in the policy fine print that enables them to deny a claim. Knowing why does not mean you get claim paid.
Ok so maybe Iβm bluesky dumb but I keep seeing people responding with π and does this actually do something? Because I canβt find a way to save stuff like this (no bookmarks feature etc) so I just quote post it to hopefully find it on my own profile page.