Why do insurance companies need some much medical documentation and why is the reimbursement system so complex?

7 Comments Add yours

1. Tom
   January 16, 2011
   6:16 pm

   bottom line is they are a business
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   January 16, 2011
   6:55 pm

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3. Katie
   January 16, 2011
   7:57 pm

   Because normally they only cover services that are medically necesary. If they can’t determine if something is necessary, they’ll need the medical documentation–how else will they know if they’re supposed to pay it or not? They spend a lot of money–they need to make sure they’re only paying what they’re supposed to.

   If you were receiving bills, you’d make sure you were responsible for them wouldn’t you?
4. smile2cute
   January 16, 2011
   10:21 pm

   because they want to make it as difficult as possible to get the money in hopes you will give up and say to hell with it thus preventing them from having to make payouts
5. remowlms
   January 16, 2011
   11:25 pm

   Because there are so many people trying to get money by making fraudulent claims.
6. mbrcatz
   January 17, 2011
   12:19 am

   Because there’s a hell of a lot of fraud.
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   January 17, 2011
   2:25 am

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