We have been traveling on a journey through the very frustrating, annoying, and obnoxious world of health insurance company denials. Whether it be a...
I now ask patients what their goals are. I present surgical and medical options and make sure the patient understands — and then I ask them more questions.
Outside the pandemic, “investigational” remains payer code for denying reimbursement. In the case of treatment for chronic conditions, even FDA-approved digital-health and connected devices languish on waitlists for formulary inclusion.