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re: A Doctor at Cigna Said Her Bosses Pressured Her to Review Patients’ Cases Too Quickly.

Posted on 5/6/24 at 7:34 am to
Posted by TigerMan327
Elsewhere
Member since Feb 2011
5245 posts
Posted on 5/6/24 at 7:34 am to
This article actually makes it seem nurses and doctors review every claim was is completely untrue.

They hire kids off the street to check claims and send denials. A nurse/DR probably doesn’t see it til the decision is appealed.

Like stated already some insurances are reverting to AI and programs to auto deny. Insurances are not your friend
Posted by LSUfan4444
Member since Mar 2004
54250 posts
Posted on 5/6/24 at 7:36 am to
quote:

This article actually makes it seem nurses and doctors review every claim was is completely untrue.


I don't think the article is referring to claims, it's referring to prior authorization for services.
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