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  • How Cigna Saves Millions by Having Its Doctors Reject Claims Without . . .
    Internal documents and former company executives reveal how Cigna doctors reject patients’ claims without opening their files But they would save roughly $2 4 million a year in medical
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    How Cigna saves millions when its doctors reject claims without reading them Source: Patrick Rucker, Maya Miller David Armstrong, Propublica Cigna medical directors do not see any patient records or put their medical judgment to use, said former company employees familiar with the system Instead, a computer does the work
  • How Cigna Saves Millions - Portside
    How Cigna Saves Millions Its Doctors Reject Claims Without Reading Them March 25, 2023 Patrick Rucker, Maya Miller and David Armstrong ProPublica Printer friendly How Cigna Saves Millions Published March 25, 2023 Twitter; Facebook; Mail; Cigna When a stubborn pain in Nick van Terheyden’s bones would not subside, his doctor had a hunch
  • Health Care How Cigna Saves Millions by Having Its Doctors Reject . . .
    How Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them by Patrick Rucker, Maya Miller and David ArmstrongMarch 25, 5 a m EDT Cigna’s review system was developed more than a decade ago by a former pediatrician After leaving his practice, Dr Alan Muney spent the next several decades advising insurers
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    The rejection of van Terheyden’s claim was typical for Cigna, one of the country’s largest insurers The company has built a system that allows its doctors to instantly reject a claim on
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    How Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them AI is being used extensively in the area of the pre-authorization of your medical claims Prior to approving a medical service or procedure, insurance companies often require a pre-authorization process where doctors must submit detailed information about the
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    Over a period of two months last year, Cigna doctors denied over 300,000 requests for payments using this method, spending an average of 1 2 seconds on each case, the documents show The company has reported it covers or administers health care plans for 18 million people
  • E C Republicans Press Cigna for Clarification After Investigative . . .
    According to the report titled “How Cigna Saves Millions by Having its Doctors Reject Claims Without Reading Them,” which focuses on Cigna’s procedure-to-diagnosis (PXDX) review process: The PXDX review process denies payments for claims indiscriminately, potentially leading to improper denials of coverage for medically necessary tests
  • How Cigna Saves Millions - midtownsouthcc. org
    How Cigna Saves Millions July 24, 2024 | admin Patrick Rucker, Maya Miller, David Armstrong, March 25, 2023 Its Doctors Reject Claims Without Reading Them When a stubborn pain in Nick van Terheyden’s bones would not subside, his doctor had a hunch what was wrong But they would save roughly $2 4 million a year in medical costs, the
  • House committee presses Cigna for clarification after bombshell . . . - NCPA
    In March, ProPublica published “How Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them,” alleging that patients are frequently forced to pay out-of-pocket expenses for services that should be covered Last year, 80 percent of Medicare Advantage coverage denials were overturned, suggesting that Cigna’s PXDX





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