Cigna Healthcare Can Reject Claims Without Reviewing Patient Files Properly, Investigation Finds

Health InsurancePhoto byNational Cancer InstituteonUnsplash

Recently, a startling discovery was made regarding the healthcare and medical industry. According to an article published by and written by Patrick Rucker, Maya Miller, and David Armstrong, Cigna's doctors have the authority to reject claims without even opening the file.

Shockingly, it has been revealed that Cigna rejected 300,000 claims over two months, spending an average of just 1.2 seconds on each case.

(read the full story here)

This information is quite alarming because it means that people who need medical help might be denied access to it simply because of the system Cigna has created. It is not difficult to imagine the devastating impact this could have on people who are already struggling with health issues. They could be refused vital medical treatments or medication, putting their lives at risk and this is all because there is some sort a "System " that makes decisions.

What is equally concerning is that many people on Twitter have come forward stating that Cigna has refused them certain medications or treatments. This further validates the need for accountability and transparency in the healthcare and medical industry, as the current system appears to fail to provide patients with the care they need and deserve.

It is important to note that Cigna has defended its actions, stating that the reporting by is not 100% accurate. According to Cigna, its review system was created to accelerate the payment of claims for certain routine screenings. It only allows automatic approval of claims when submitted with correct diagnosis codes. However, according to the source from the authors, former Cigna doctors have confirmed that the review system was used to reject claims quickly.

Cigna has emphasized that its system does not prevent patients from receiving care, as it only decides when the insurer won't pay. However, the fact remains that if claims are rejected without proper review, patients may not be receiving the necessary medical care and treatments they require.

The investigation by sheds light on a deeply concerning issue in the healthcare and medical industry.

It highlights the need for greater accountability and transparency in the industry and for patients to have access to medical care and treatment without fear of being denied by insurance companies.

Hopefully, this information will bring about positive change in the industry and ensure that patients receive the care they need and deserve. Ideally, we can see that systems do not work as "planned" since we have exceptions and people who need help from the "made and placed system."

What are your thoughts on this? Has your medical health care system refused you?

For those who wish to read the full report, please read it here

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