Insurance Corporations use a practice of approving claims for a number of patients then months later coming back and saying oops we don’t approve that claim give us the money back. These are very large sums of money such as $25,000 or $50.000. This puts an enormous financial harship on providers who own small clinics and even puts some out of business. If they approve a claim in the first place how is it suddenly not approved? It’s because they want to keep more money. It has nothing to do with the actual care. It’s a tactic.
Years ago they would retroactively go back years and ask for massive amounts of money even in the six figures. In some States there is a limit of them being able to go back one year no more.
This is still too much. It’s another tactic to please their investors. It’s not about care.
This should not be permitted.