https://mas.to/@MikeBeas/113666556469008087
EDIT: I think you should get the service you pay for, just so that’s clear.
I’m sure the doctors stick with reviewing claims for which they have a lot of experience, spend the time to actually review the patient’s specific scenario better than the doctor who saw the patient, and aren’t financially incentivized to deny as many claims as possible.
Yeah that’s what I was getting at. For some reason I’m being downvoted for saying how things actually work?
The person you’re responding to was being sarcastic. They’re bottom of the barrel doctors practicing outside their specialty and have a financial incentive to deny claims.
Text saying how it actualy works without any indication that you think it is bad sounds like approval of the existing system by default.
If you said ‘the crazy part is…’ or ‘they hired the doctors to give themselves the appearance of medical doctors making qualified decisions’ then maybe it wouldn’t have come off that way. Instead, it comes across as ‘yeah, but they have doctors making the decisions so it is fine’.