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Could You Process A Claim At A Health Insurance Company?

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Insurance company professionals are highly trained in prioritizing profits and fucking over customers. Could you process a claim at a health insurer?

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Q: Someone asks you to process an insurance claim. What is the first step?

Q: Someone asks you to process an insurance claim. What is the first step?

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A: Throw their file in the garbage and call it a day.

A: Throw their file in the garbage and call it a day.

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Q: What is the maximum payout for a health insurance settlement?

Q: What is the maximum payout for a health insurance settlement?

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A: Zero dollars.

A: Zero dollars.

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Q: What is a valid health insurance claim?

Q: What is a valid health insurance claim?

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A: When one finally happens, we’ll let you know.

A: When one finally happens, we’ll let you know.

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Q: Can you explain the difference between PPO and HMO plans?

Q: Can you explain the difference between PPO and HMO plans?

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A: No, but neither can they, so fuck it.

A: No, but neither can they, so fuck it.

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Q: How long should it take to process a health insurance claim?

Q: How long should it take to process a health insurance claim?

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A: Impossible to answer given not a single health insurance claim has ever successfully been processed.

A: Impossible to answer given not a single health insurance claim has ever successfully been processed.

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Q: How do you deny a claim for a liver transplant?

Q: How do you deny a claim for a liver transplant?

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A: Inform the customer the organ they’ve received is out of network.

A: Inform the customer the organ they’ve received is out of network.

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Q: What is the preferred method of payment for approved settlements?

Q: What is the preferred method of payment for approved settlements?

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A: Direct deposit into the bank account of the health insurance company CEO.

A: Direct deposit into the bank account of the health insurance company CEO.

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Q: What is a preexisting condition?

Q: What is a preexisting condition?

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A: Something people lie about so you’ll feel sorry for them

A: Something people lie about so you’ll feel sorry for them

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Q: How many times can a patient see the doctor annually?

Q: How many times can a patient see the doctor annually?

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A: The patient may see their primary care doctor five times, after which they must resort to squeezing medical information out of their veterinarian cousin at their family’s next holiday gathering.

A: The patient may see their primary care doctor five times, after which they must resort to squeezing medical information out of their veterinarian cousin at their family’s next holiday gathering.

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Q: How can you live with yourself turning away an ill person who now has to desperately struggle with hospital bills?

Q: How can you live with yourself turning away an ill person who now has to desperately struggle with hospital bills?

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A: I bear no accountability as I am simply a powerless cog in the exploitive machine.

A: I bear no accountability as I am simply a powerless cog in the exploitive machine.

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Q: Someone explains they are calling because the insurance company failed to pay the portion of their medical bills that it was obligated to pay. What do you do?

Q: Someone explains they are calling because the insurance company failed to pay the portion of their medical bills that it was obligated to pay. What do you do?

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A: Preposterous. When have insurance companies been expected to pay for anything?

A: Preposterous. When have insurance companies been expected to pay for anything?

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Q: What is the process for fleecing a premature baby?

Q: What is the process for fleecing a premature baby?

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A: Knock down the NICU door, smoosh their mother’s face against the incubator, and say that if they don’t fork over the cash by midnight, they’ll regret it forever.

A: Knock down the NICU door, smoosh their mother’s face against the incubator, and say that if they don’t fork over the cash by midnight, they’ll regret it forever.

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Q: How would you reject someone who needed a walker?

Q: How would you reject someone who needed a walker?

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A: Tell them to crawl instead.

A: Tell them to crawl instead.

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Q: How would you recommend someone finance a kidney transplant?

Q: How would you recommend someone finance a kidney transplant?

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A: Fill a bathtub with ice, get some chloroform, and do what you have to do.

A: Fill a bathtub with ice, get some chloroform, and do what you have to do.

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Q: What counts as an elective surgery?

Q: What counts as an elective surgery?

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A: Kidney transplant, heart transplant, liver transplant, bone marrow transplant, coronary bypass surgery, C-section, appendectomy, pacemaker insertion, broken bone repair, gallbladder removal, stent insertion, herniated disk surgery.

A: Kidney transplant, heart transplant, liver transplant, bone marrow transplant, coronary bypass surgery, C-section, appendectomy, pacemaker insertion, broken bone repair, gallbladder removal, stent insertion, herniated disk surgery.

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Q: When are you allowed to approve a claim?

Q: When are you allowed to approve a claim?

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A: If and only if they know someone who owns this company.

A: If and only if they know someone who owns this company.

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Q: What is the patient’s deductible?

Q: What is the patient’s deductible?

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A: Eternally $700 higher than whatever they’ve already paid.

A: Eternally $700 higher than whatever they’ve already paid.

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Q: What are the four stages of a health insurance claim?

Q: What are the four stages of a health insurance claim?

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A: Adjudication, denial, denial, and denial.

A: Adjudication, denial, denial, and denial.

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Q: How do you confirm someone’s identity?

Q: How do you confirm someone’s identity?

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A: Put them on hold for two hours or until they hang up and then lock their account for fraud.

A: Put them on hold for two hours or until they hang up and then lock their account for fraud.

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Q: What should you do if the individual filing the claim is grasping at your ankles, coughing up blood, and begging you to please help them before they die?

Q: What should you do if the individual filing the claim is grasping at your ankles, coughing up blood, and begging you to please help them before they die?

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A: Beat away the guttersnipe’s greedy little paws with your lacquered cane! Enough of this insolence! Enough!

A: Beat away the guttersnipe’s greedy little paws with your lacquered cane! Enough of this insolence! Enough!

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Q: What do you do if a patient says they’re in dire pain but can’t find a doctor in-network?

Q: What do you do if a patient says they’re in dire pain but can’t find a doctor in-network?

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A: Try not to laugh.

A: Try not to laugh.

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Q: What should you do if a claim is accepted?

Q: What should you do if a claim is accepted?

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A: Immediately notify company officials of the error.

A: Immediately notify company officials of the error.

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Q: What is a medically necessary treatment?

Q: What is a medically necessary treatment?

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A: Anything not covered by insurance.

A: Anything not covered by insurance.

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Q: A customer received an MRI scan to identify a possibly malignant tumor, a procedure covered under the insurance policy, but the procedure was filed under the wrong claim code. How do you proceed?

Q: A customer received an MRI scan to identify a possibly malignant tumor, a procedure covered under the insurance policy, but the procedure was filed under the wrong claim code. How do you proceed?

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A: They’re practically dead anyway. Denied.

A: They’re practically dead anyway. Denied.

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