“Half Our Approved Surgeries Get Denied After The Fact”: Inside The Prior Authorization Racket
📋 Jump To Topics
- “Approved Before Surgery. Denied After Surgery.”
- Real People Behind The Numbers: Denied, Dragged Out, And Left With Bills
- “I did everything right and still paid ?3 lakh–plus equivalent”
- “They ran down the clock by restarting the review”
- “They told me to do conservative treatment for six years, then denied the tests they demanded”
- “I even got a bill from an insurer I never had”
- Not Just One Company, Not Just One Industry
- The Public Is Funding The Game
- Why This Keeps Happening: Incentives And Loopholes
- What Patients Can Do In A System That Feels Rigged
- Before surgery or major procedures
- If you get denied after prior approval
- At the policy level
- The Real Question: What Business Are Insurers In?
A viral clip from an American surgeon explains a system where health insurers pre-approve surgeries only to deny 40-50% of the claims after the fact. What is really happening behind the paperwork?
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