• sunzu2@thebrainbin.org
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        5 days ago

        When the insurance company describes their functional area is the term “medical decision” listed anywhere?

        Asking for a friend

        • T156@lemmy.world
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          5 days ago

          If the insurance company declines a patient’s treatment, citing that they believe it to be unnecessary, against the recommendations of their healthcare provider, is that a non-medical decision, then?

        • inv3r5ion@lemmy.dbzer0.com
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          4 days ago

          Nice sea lioning just asking questions.

          Health insurance companies specifically hire doctors often in unrelated specialties solely to deny claims as being not medically necessary.

          Quit your gaslighting bullshit. I hope you’re being paid well for your simping.

          • sunzu2@thebrainbin.org
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            4 days ago

            Poor reading comprehension.

            But yes:

            companies specifically hire doctors often in unrelated specialties solely to deny claims as being not medically necessary

            Has a doctor ever gotten in trouble with the board for this conduct?

            Do you ever wonder why not?

            Asking for a friend 🐸

            • inv3r5ion@lemmy.dbzer0.com
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              4 days ago

              I think a lot of doctors are gonna start getting their credentials threatened as more people learn how to use the system to their benefit. I for one had no idea one could get the info of whos denying care and then complain to the licensing board, until Luigi brought to light our shit ass medical system. People are waking up from the gaslighting.

              Will there be any major changes? Probably not until more CEOs get killed.

              • sunzu2@thebrainbin.org
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                4 days ago

                My point being medical board will do nothing because from legal perspective it is not their jurisdiction.

                I am not disputing that these whores are making medical decisions but that’s not how system views it.

                They are essentially pleading to authority

                we hired medical professionals to deny your claim, they know what they are doing

                These people are not practicing medicine and they are not subject to any oversight beyond their corpo komissar

                Probably not until more CEOs get killed.

                The reverse of beatings will continue u til morale improves… Fuck them, nobody care if they die lol

                PS. People should try to report their denoed claim to medical board within theIr state. Ot is a valid vector to attack these parasites. But both know medical board won’t do shit. But it would make a great propublica story

                • inv3r5ion@lemmy.dbzer0.com
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                  4 days ago

                  There was some evidence in the medical reddits that threatening these “doctors” licenses seemed to work in getting approvals. Who knows.

                  I don’t have health insurance. My way of doing things is to just simply not go to the doctor, and if I absolutely must I go to a free clinic for the poor. I’ve had medical emergencies that have put me in the hospital, I just don’t pay. Credit was ruined anyway by the student loan scam and money clearly isn’t real. Fuck them.

                  • sunzu2@thebrainbin.org
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                    4 days ago

                    The way consumer dead works on US, it is institutionalised oppression.

                    I don’t pay risidual or out of network bills. Not my problem. These parasites lost their minds.

                    Not paying them at all can result in bad outcomes if you have assets they can go after if enough money is on the line though.