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Frisco Health Insurance Suffers Setbacks In Claims Process For Many Americans

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Frisco health insurance agent: Nationwide claim denials leave Americans with out-of-pocket expenses or forgo medical care.

Frisco health insurance agent, says many of the stories behind some of the more recent reasons for denied claims are rumored to defy medical standards of care and plain old human logic.”
— Rick Thornton
FRISCO, TEXAS, USA, July 6, 2023/EINPresswire.com/ -- Frisco health insurance claims are being denied nationwide, forcing countless Americans to either make out-of-pocket accommodations or skip seeking medical help entirely. And that’s just the national average. Some insurance companies had high rates of claim denials, with one insurer denying a significant portion of claims a couple of years ago, and another experiencing a substantial denial rate in one of the year. Health officials are raising concerns about the perplexing reasons behind claim denials that contradict previous approvals for the same patient. The current administration has been making efforts to reduce the burden of high premium costs by implementing measures such as providing free premiums for millions of Americans on specific plans.

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The latest news is a nationwide issue and is a major topic of concern for individuals and families with health insurance in Frisco. But there may be a few reasons why this is happening. The first is that insurers appear to be forgoing human analysis during the claims process in favor of computers to make faster decisions. As a result, the computers aren’t taking into consideration patient history or what makes the most sense for each situation. The second reason is that insurers are hiring people to do the same work, though those employees likely have limited experience and, thus, are denying claims in batches without reviewing the patient’s medical chart for a history of similar approvals.

Rick Thornton, a Frisco health insurance agent, said many patients in Texas and surrounding communities are receiving denial letters from their health insurance carriers stating that the patient had asked for coverage for medical intervention that wasn’t medically needed, even though previous claims for the same reasons were approved. Thornton said time will tell if the denial surge is resolved.

Insurance4Dallas, (I4D), helps insure all of Texas, Oklahoma, Arkansas, Arizona, Louisiana, New Mexico, Alabama, Virginia and Florida. Insurance4Dallas provides consumers with detailed information on health insurance with the ability to purchase health insurance online. Insurance4Dallas provides a full spectrum of health, dental, vision, life and ancillary insurance products, providing a diverse selection of price and benefit options complemented by personal customer service. Available via phone, email or fax, Insurance4Dallas answers consumer questions throughout the purchasing process and during the utilization of its health insurance policies. 

Rick Thornton
Insurance4Dallas
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Frisco Health Insurance Suffers Setbacks In Claims Process For Many Americans

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