Millions of Americans in the past few years have run into this experience: filing a health-care insurance claim that once might have been paid immediately but instead is just as quickly denied. If the experience and the insurer’s explanation often seem arbitrary and absurd, that might be because companies appear increasingly likely to employ computer algorithms or people with little relevant experience to issue rapid-fire denials of claims …
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An insurer’s letter was sent directly to a newborn child denying coverage for his fourth day in a neonatal intensive-care unit. “You are drinking from a bottle,” the denial notification said, and “you are breathing on your own.” If only the baby could read.
I’m starting to think that for profit health insurance companies are over emphasizing the “for profit” part at the detriment of the “health insurance” part.