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'Out of control': Cancer surgeon claims UnitedHealthcare questioned her mid-procedure (www.rawstory.com)

submitted 3 weeks ago by pelespirit@sh.itjust.works to c/usa@midwest.social

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A breast cancer surgeon had to "scrub out mid-surgery" to call a UnitedHealthcare representative because the insurance giant questioned whether the procedure she was in the middle of performing was really necessary.

Dr. Elisabeth Potter posted her story to Instagram this week, and the post has gotten more than 221,000 likes.

Still wearing her scrub cap, Dr. Potter began her video saying, "It’s 2025, and navigating insurance has somehow just gotten worse."

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[–] Cethin@lemmy.zip 3 points 2 weeks ago (1 children)

Push back when it's auto-declined. You can often get them to pay up even if they decline at first. They're trying to make as much profit as possible, so they decline and hope you don't fight back.

[–] WraithGear@lemmy.world 3 points 2 weeks ago* (last edited 2 weeks ago) (1 children)

I mean thats the thing right? Except it’s not that easy. The billing man at the practice has been trying, and when i call i get the, “your claim has been reviewed by a human and denied.” Canned response. And i have to go through the call carousel. And now my job changed providers, so now i am trying to get back pay from a healthcare company i don’t have an active account with. But i really don’t want to have half my jaw amputated.

[–] Cethin@lemmy.zip 2 points 2 weeks ago

Yep. They make it has hard as legally possible. It's bullshit. It's all very fucked up.