Biggest health insurer plans to deny ER bills if it doubts you had an emergency

  • Biggest health insurer plans to deny ER bills if it doubts you had an emergency

    updated 1 day, 20 hours ago 1 Member · 1 Post
  • Anonymous

    June 10, 2021 at 4:34 PM
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    Enlarge / UnitedHealth Group Inc. headquarters stands in Minnetonka, Minnesota, U.S., on Wednesday, March 9, 2016. (credit: Getty | Bloomberg)

    Doctors and hospitals are condemning plans by UnitedHealthcare—the country’s largest health insurance company—to retroactively deny emergency medical care coverage to members if UHC decides the reason for the emergency medical care wasn’t actually an emergency.

    In the future, if one of UHC’s 70 million members submits a claim for an emergency department visit, UHC will carefully review what health problems led to the visit, the “intensity of diagnostic services performed” at the emergency department (ED), and some context for the visit, like the member’s underlying health conditions and outside

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