Fw: [MedicaidforHDOT] Rejecting medical claims

[Guest guest]

[MedicaidforHDOT] Rejecting medical claims

A couple of weeks ago I spoke with a friend who teaches at Emory School of

Medicine. He said he has a 1st year student who also works as a claims

processor for a health insurance company. The student/processor has been

instructed by management to deny every 7th claim--no matter what--as

standard operating procedure.

I asked if I could talk with the student/processor and get documentation of

this, but the student/processor is unwilling to talk for fear of being

fired.

Interesting.

I wonder if this " practice " is common throughout the industry?

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Freels

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