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American surgeon records herself doing a “peer to peer” call with UnitedHealthcare trying to get a patients surgery approved
- UnitedHealthcare refuses to give any of their doctors names who makes decisions
- The doctor doesn’t specialize in surgery that’s being requested
- She asks for the determination paperwork of how UnitedHealthcare determined the patient shouldn’t get the surgery, UnitedHealthcare won’t provide that information
- UnitedHealthcare tells the surgeon to do an “internal appeal” but won’t provide any details on their determination
So to recap: UnitedHealthcare denies patients, their surgeon calls and can’t get a name, a specialty, or any details whatsoever regarding the denial
This is the state of American Healthcare