3
out of 5
POSTED: | BY: Patricia
Denial of a Chronic Disease Wasnt' Chronic
Submitted claim for Nicklaus Archer on 9/22/18. He had a traumatic small laceration to face which eventually became hot spot. You denied claim and continue to deny claims stating it's a "chronic condition", but it's not. Chronic conditions are diseases such as diabetes, etc. This was a one time traumatic injury that became a hot spot due to scratching. Very disappointed that you search for reasons to deny claims. I haven't been able to recommend your insurance to my colleagues and it's offered as a benefit. You also denied teeth cleaning which should be a preventive service and not "chronic".