djamp42 t1_je877fn wrote on March 30, 2023 at 2:50 AM

Reply to comment by HarryHacker42 in ELI5: What is Universal Healthcare by Thegreatcornholio459

You might have something on that nth claim thing, because I had a bunch of other bills from that same event and they were all covered, even ones from the same doctor, but for whatever reason this one was denied.

HarryHacker42 t1_je887ow wrote on March 30, 2023 at 2:58 AM

20% error rate on claim processing:

https://www.carecloud.com/continuum/health-insurance-claim-errors-waste-17-billion-annually/

Aetna admits they never looked at some patients medical records before marking the claims denied:

https://www.cnn.com/2019/04/26/health/aetna-settlement-california-investigation/index.html