drives me nuts. provider can’t navigate the insurance system which is designed to be hard and you as someone who has no access to the software and have no experience or knowledge on how these work have to spend massively stressful hours upon hours to clear up. All the time wondering if this will be the one you can’t clear up. And in the end the insurance is going to be paying for the health outcomes of all that stress. I also love the we don’t cover this pretty cheap procedure that is highly effective but will cover massively expensive suregery that has iffy outcomes. Go on. do the surgery. you will have to live with the outcomes. Surely you can somehow gather the thousands for the cheap procedure yourself on top of your maximum out of pocket this year. big game of chicken. dare you take the surgery that will cost them hundreds of thousands?
I also found out when looking for my confusing code example that different insurers sometimes want something coded differently based on their definition of what a procedure entails
yeah you don’t even get some sort of usefull experience for each one you do as its mostly just a game of telphone where you are in between the insurer and provider. You would think the provider would be motivated but they charge so much more than they get that I think they view it as hey if they can just get 10% of the bill from you they break even and if they get more they are going to get ahead. Im so glad for the no surprise billing thing as it gives a somewhat better footing.
