My insurance company showing off their fastest paid out claim this year (they’ve been fighting me for 8 months to not pay me back)

Yeah thats nothing. A vast majority of their claims processing are automated and fitted with their bullshit policies. If the claim passed the system of course its going to pay if theres nothing else that would stop it.

Bet the claim paid and applied 100% of the payable amount to deductible because the patient for said claim was given an asinine deductible they'll never meet.

Comment by POGofTheGame at 19/12/2024 at 18:44 UTC

24 upvotes, 1 direct replies

This claim even feels fake... Oh really it just so happened to be 123 seconds? And there's no way to verify it and no consequence if you lie? How convenient.

Comment by fearnemeziz at 19/12/2024 at 17:54 UTC

35 upvotes, 0 direct replies

What they mean by that 123 sec. is, that they have paid the return postage where the rejection is stated

Comment by Sorry_Term3414 at 19/12/2024 at 18:31 UTC

12 upvotes, 1 direct replies

Was it a $10 claim on a pack of pain meds?

Comment by Killed_Mufasa at 19/12/2024 at 18:49 UTC

8 upvotes, 1 direct replies

There should be public reporting on insurance companies, showing percentages of the claims given, etc. In fact, there should be laws to hold up insurance companies to proper standards.

Comment by BackAlleySurgeon at 19/12/2024 at 21:22 UTC*

7 upvotes, 2 direct replies

I genuinely don't understand why this is a brag for them. Certain claim requests should be nearly instantaneous. In fact, I would think the fastest time to approve a claim should be even less than this.

I think insurance providers sometimes forget that there's a contract between us and them. We've already paid them money, and in return, they're supposed to provide us services. It's not purely discretionary whether they approve claims or not, although they behave as if it is. Some things are just plain covered and there should be no question and no real need for a human to look over the claim request.

It's as if I subscribed to Netflix, and paid for ad-free movies. Netflix doesn't need a person to check my policy every time I click on something. Because I already paid for the service.

Of course health insurance is a bit more complicated than Netflix. There are far more edge cases. But most cases *aren't* edge cases, and this pervasive concept that it's fundamentally unclear what you're covered for is absolutely absurd.

Comment by indyK1ng at 19/12/2024 at 19:01 UTC

4 upvotes, 0 direct replies

I actually worked at a company that was working on trying to do really fast approvals with one insurance company. The goal was to have the approval done for really bog standard claims before you got from the exam room to the reception desk.

The project was on pause when I got laid off and the company has apparently done another round since then so I have no clue whatever happened to that.

Comment by burningtowns at 19/12/2024 at 19:25 UTC

5 upvotes, 0 direct replies

We pay out pretty fast!*

Not for your family.

Comment by jaybirdie26 at 19/12/2024 at 19:02 UTC*

5 upvotes, 1 direct replies

I'm going to be a doubter, sorry - I can't find this image on a reverse image search. Where did you get it? I figured it would be on social media somewhere, but if it is it must be a very small insurance company.

EDIT: Also you appear to be Swedish. Wouldn't your insurance company also be Swedish? Why would they post this in English? I don't know anything about how insurance works in Sweden, so I could be completely misguided.

Comment by PharmaBob at 19/12/2024 at 19:24 UTC

3 upvotes, 0 direct replies

What insurance company op

Comment by General-Lee-High at 19/12/2024 at 20:07 UTC

3 upvotes, 0 direct replies

“We deny claims quickly and then compensate ourselves twice as fast!”

Comment by [deleted] at 19/12/2024 at 18:26 UTC

3 upvotes, 0 direct replies

Pharmacy claims are sent and paid in real time.

Comment by Creative-Bus-6233 at 19/12/2024 at 18:46 UTC

2 upvotes, 0 direct replies

I think they wrote seconds instead of months