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Published 1 year ago

How Cigna saves millions by having its doctors reject claims without reading them

Summary by Ground News
Nick van Terheyden was denied a $350 vitamin D test because it was not "medically necessary" Cigna has built a system that allows its doctors to instantly reject a claim on medical grounds. Over a period of two months last year, doctors denied over 300,000 requests for payments using this method, documents show.

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Raw StoryRaw Story

How Cigna saves millions by having its doctors reject claims without reading them

ProPublica is a Pulitzer Prize-winning investigative newsroom. Sign up for The Big Story newsletter to receive stories like this one in your inbox.When a stubborn pain in Nick van Terheyden’s bones would not subside, his doctor had a hunch what was wrong.Without enough vitamin D in the blood, the body will pull that vital nutrient from the bones. Left untreated, a vitamin D deficiency can lead to osteoporosis.A blood test in the fall of 2021 con…

1 year ago·United States
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Bangor Daily NewsBangor Daily News

How Cigna saves millions by having 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. Without enough vitamin D in the blood, the body will pull that vital nutrient from the bones. Left untreated, a vitamin D deficiency can lead to osteoporosis. A blood test in the fall of 2021 confirmed the doctor’s diagnosis, and van Terheyden expected his company’s insurance plan, managed by Cigna, to cover the cost of the bloodwork. Ins…

1 year ago·Bangor, United States
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Talking Points MemoTalking Points Memo

How Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them

This article first appeared at ProPublica and The Capitol Forum. ProPublica is a Pulitzer Prize-winning investigative newsroom. Sign up for The Big Story…

1 year ago·United States
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The CT MirrorThe CT Mirror

How Cigna saves millions by having 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. Without enough vitamin D in the blood, the body will pull that vital nutrient from the bones. Left untreated, a vitamin D deficiency can lead to osteoporosis. A blood test in the fall of 2021 confirmed the doctor’s diagnosis, and van Terheyden expected his company’s insurance plan, managed by Cigna, to cover the cost of the bloodwork. Ins…

1 year ago
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ProPublicaProPublica

How Cigna saves millions by having its doctors reject claims without reading them

“We literally click and submit,” one former company doctor said.

1 year ago·New York, United States
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