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Patients Stuck with Bills After Insurers Don't Pay as Promised
Kaiser Health News Feb. 7, 2020 "While prior authorization was traditionally required only for expensive, elective or new procedures, such as a hip replacement or bypass surgery, some insurers now require it for even the renewal of some prescription drugs.... Prior authorizations may now include a line or two saying something like: 'This is not a guarantee of payment.' This loophole allows insurers to change their minds after the fact -- citing treatments as medically unnecessary upon further review, blaming how billing departments charged for the work or claiming the procedure was performed too long after approval was granted." |
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