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by wyldfire
2371 days ago
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No way, this was totally deliberate fraud. The physician likely included all of the accompanying diagnostic codes for ultra rare/serious symptoms/history so it wouldn't get rejected by the insurer. Plus when asked for an explanation by the reporter they didn't opt to fessing up to a mistake or explain why the charge was necessary: they offered no comment whatsoever. Their fraud relies on insured patients not reading EOBs (because many of us don't). |
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The parent comment seems to imply the payer is at fault or committing fraud.