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this is why so many people get frustrated with health insurance denials they think if a doctor prescribes something, insurance should automatically approve it that’s not how the system works insurance companies follow their own rulebook they look at things like: • is this the approved treatment first? • is there a cheaper option available? • does this request meet their exact criteria? and if the answer is no… they often deny it, at least at first this is where people feel defeated and give up t
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A new rule from the Centers for Medicare and Medicaid is forcing states to make major changes to their state’s application process and add a lengthy work requirement verification process. As a result, at least 6 states are implementing AI tools as a part of eligibility determination, even as experts warn that AI tools could lead to people getting denied healthcare they otherwise qualify for. #kendallybrown #healthcare #health #insurance #medicine
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TikTokkendallybrown
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