this post was submitted on 07 Dec 2024
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[–] disguy_ovahea@lemmy.world 67 points 2 weeks ago

Initially, yes. Then you appeal the claim. Then your appeal gets denied. Then you call with the claim number and challenge the result of your appeal. Then the insurance company contacts the doctor to verify necessity. If your doctor successfully convinces your provider that they know more about medicine than a corporate insurance company, then you’ll be the lucky recipient of an approval.

Source: 20+ specialist appointments and scans per year for the last five years