Only 5% of denied health claims were ruled 'not medically necessary' (randalolson.com)
An analysis of ACA in-network claims puts denial rates between 13% and 35% depending on the insurer. The breakdown beneath that range is the surprise.
Only about 1 in 20 denials cited medical necessity. The rest were administrative: excluded services, missing referrals or prior auth, or a reason the insurer simply never gave.
The thread's twist: 'never specified' is not the same as harmless.
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