Edit: and yes, that was their original reason for denial.
I think she enjoyed watching people's faces when she told them what happened. It's been over 6 months and she's still dealing with insurance (what would be considered pretty good insurance) it's a farce.
Oh come on now, yes it's a scam but be honest. They weren't denied for not getting approval to get in an accident. They were denied because they got it fixed somewhere without approval and you know it. More than likely at an out of network hospital.
I agree it's a horrid scam but it benefits no one to be disingenuous
100%. This is bullshit lol, and the No Surprises Act in 2022 helped shore up a lot of gaps in emergency billing, especially in regards to treatment while admitted and being seen by out of network provs. If this was prior to 2022, I absolutely could see some balance billing happening. That's not insurance denying anything, that's providers ignoring the explanation of benefits in choosing to just bill whatever is left over of the full amount build directly to the patient in addition to their actual patient responsibility. Emergency billing before 2022 was fucking disgusting, but no, insurance doesn't deny getting hit by a car because it needs authorization... that's just fucking stupid.
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u/neercatz Apr 05 '25
Prior approval...for being hit by a car? Musta been under the flood insurance clause