Medical Billing Coding - Choosing health insurance based on how they pay, cpt, codes
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Thread Topic: Choosing health insurance based on how they pay
Topic Originator: Erik
Post Date August 10, 2015 @ 8:50 PM
Choosing health insurance based on how they pay

August 10, 2015 @ 8:50 PM Reply  |  Email Friend   |  |Print  |  Top

Hello, everyone. I only worked temporarily in a billing office once, so I'm not too knowledgeable. I have questions from the standpoint of a buyer of health insurance.

Insurance is less valuable if the insurer works hard to deny claims based on lack of medical necessity or other excuses. So I've been looking at the American Medical Associations (AMA) National Health Insurer Report Card (NHIRC). I found it by searching Google for that.

I'm curious about your opinion about which of those metrics are most useful.

Also, where do I learn the meaning of "disclosed and undisclosed claim edits".

In addition, I wonder whether any of your billing offices have done their own number crunching to figure out which insurers most hurt the doctors and patients with ruthless practices in handling claims.

Thanks for any insights about rationally choosing health insurers for our own personal use!

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