保险公司拒赔比例

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Re: 保险公司拒赔比例

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shepherd17 写了: 04 12月 2024, 21:30

看看他们的条款,简直没天理,丧尽天良啊!

今天枪击案的新闻出来之后,网上很多表达对医疗保险业的愤怒。

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Re: 保险公司拒赔比例

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who 写了: 04 12月 2024, 20:42

这是 Anthem Blue Cross Blue Shield 今年11月的一个公告

https://providernews.anthem.com/connect ... cial-22477

其中有这个一句:

We will utilize the CMS Physician Work Time values to target the number of minutes reported for anesthesia services.
Claims submitted with reported time above the established number of minutes will be denied.

麻醉服务如果超出他们认定的时间,他们就拒绝理赔。

Update: 保险公司宣布暂停此计划,因为 “widespread misinformation”

https://www.nbcnews.com/health/health-c ... rcna183035

Anthem Blue Cross Blue Shield halts anesthesia payment policy after backlash
The health insurer planned to cap the length of time anesthesia can be covered during medical procedures in three states, prompting outrage.

In a statement to NBC News, a spokesperson for Anthem BCBS said, “There has been significant widespread misinformation about an update to our anesthesia policy. As a result, we have decided to not proceed with this policy change."

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