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Having worked with insurance companies, this is a PR metric. Volume of claims in no way equals cost of claims. If the denied 10% are suspiciously in line with the procedures that contain the top 40% of costs, there is a problem.
People don't care if you covered a generic version of a bottle of Tylenol, they care if you bankrupt them or leave them with no hope.
I don’t believe any of their self reported “facts”. They were using AI to deny claims and they were stealing large amounts of money from Medicare.
It would be so much more interesting to see the % of dollars claimed.