Does anyone gather statistics or investigate health ins. companies for denying necessary tests?
October 16, 2011 1:41 AM Subscribe
Is there an agency or organization to complain to when an insurance company denies a test that results in extended but easily avoidable pain & suffering?
posted by xyzzy to law & government (7 answers total) 4 users marked this as a favorite
My 32 year-old brother walked for over two months on a broken hip (in excruciating pain) because his insurance company denied the MRI requested by his doctor after a negative ultrasound and unclear X-Ray. A 2nd MRI request was eventually approved, the hip break identified, and surgery to insert screws into his hip followed. He is now pain-free.
Does anyone gather statistics or investigate health insurance companies for denying necessary tests? (I doubt my brother wants to bother dealing further with the insurance company--he doesn't even know I'm asking this question--I'm just wondering if there's someone I could/should write a letter to, or something.)