Quote Originally Posted by Tbonewannabe View Post
Insurance companies make money. They aren't in the business of giving out money until they legally have to and that is usually after every loop hole is examined.
I'm convinced that insurance companies deny all claims initially just to see if you will not appeal. I have to deal with health insurance companies. I had a patient recently who has migraine headaches, is intolerant to tryptans, allergic to the monoclonal antibody meds, and has had an increase in her headaches since getting the covid vaccine. I gave her some samples of a different kind of headache medication, and it worked for her. When I sent a prescription, her insurance denied it. When I appealed, they sent a list of questions where, if they had read my office note, had already been answered.