Healthcare insurance companies are on my short list for contempt.
They underpay, take forever to pay, deny after approval and rescind for fun. Why should I not pitch them the BS they deserve in return?
Today I received a particularly funny (and O-So-Typical) letter concerning a woman for whom I performed breast reduction a few weeks ago. This case was the largest I have done this year with over 4 pounds of breast tissue in the removed specimen. Her back pain is gone. She can stand up straight. And her husband looks like an worked-up fiancé (amongst the best compliments in my book).
Bottom Line: This case was medically-indicated and I did a great job. Sorry Blue Cross.
Nevertheless, Blue Cross via letter issued a denial/delay of payment after the surgery had been performed (and after their own pre-operative approval). They are trying to make payment the responsibility of the HMO arm of her insurance plan. I am not an HMO provider. They know it won’t work, but it will delay payment.
This is Health care Insurance Company B.S. Maneuver #1 from the “We’re Cornered But We Can Still Delay The Payment” chapter.
They know this abuse is amongst the reasons doctors drop insurers. I can certainly see why many of my friends have done so.
More of that wonderful treatment from your insurance industry.
John Di Saia MD
Originally posted 2005-06-30 20:09:00.