this post was submitted on 04 Dec 2024
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CHICAGO – In an unprecedented move, Anthem Blue Cross Blue Shield plans representing Connecticut, New York and Missouri have unilaterally declared it will no longer pay for anesthesia care if the surgery or procedure goes beyond an arbitrary time limit, regardless of how long the surgical procedure takes. The American Society of Anesthesiologists calls on Anthem to reverse this proposal immediately.

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[–] Josey_Wales 78 points 1 week ago (1 children)
[–] [email protected] 39 points 1 week ago (1 children)
[–] phubarr 42 points 1 week ago (1 children)

He submitted a claim to be at large but was only approved for "at small"

[–] [email protected] 10 points 1 week ago (1 children)

It's amazing his claim was approved at all.

[–] phubarr 6 points 1 week ago* (last edited 1 week ago) (1 children)

Upon further review, our underwriters determined the claim was to have been declined per the contract document outlining your coverage. Please be patient as we send a corrected summary of benefits which will reflect your updated balance. Please remit payment immediately upon receipt. Failure to do so can result in up to and including termination of benefits, your account being transferred to collections, and civil litigation.

Thank you for being a valued heathcare subscriber, where you have hypothetical benefits that you can't use or else you'll wish you had died instead of the alternate path where you'll be working for the rest of your pathetic life to pay off this one relatively minor incident, or else your credit will be ruined and you won't be able to buy nice things, which hopefully ushers you one step closer to homelessness, where it has become illegal in several municipalities and you will be forcibly relocated against your will and possibly beaten by police and have your remaining possessions destroyed for inconveniencing and annoying our most courageous of law enforcement officers*. Welcome to Costco, I love you.

*I've served my county as a firefighter/EMT and have seen this first hand, with my own eyes, more than once, so don't tell me it doesn't happen.

[–] [email protected] 4 points 1 week ago

Must have missed a step edit or forgotten to submit page 104/103 of the prior auth.