But today's focus really is on prioritizations and denials, which you demand more than other insurance companies that take care of Medicare Advantage patients. And most patients, they just shrug their shoulders, they give up. But the ones who do appeal, 80% of [patients who appeal] get their appeals covered. If these denials are ultimately overturned, why are you doing these pre authorizations and denials? Well, I appreciate the question, Representative. We have been methodically reducing the area of prior authorization and expediting that process. (04:29–04:33)
CLAIM
Asserts that 80% of appealed denials are overturned in favor of the patient.
This is an excerpt from a raw transcript. The assertions have not been audited or verified. Tap the video to view the source footage and understand the context.
