Deny and Delay Part 1
December 2, 2012
Question: Joe, throughout our time together, I hear a phrase you use a lot when you talk about insurance companies. The phrase is “deny and delay”. What is that all about and is that real? Do you really experience this “deny and delay” with insurance companies?
Joe: Well, I think anybody that has been practicing in what we do, would agree that “deny and delay” is probably a polite way to phrase who the system works. As I have always said, insurance companies are in the business of not paying claims; they are in the business of making a profit. So they use methodologies and technology that enables them to pay as little as possible. I know we have talked about Colossus in the past, which is a computer program that insurance companies use that handle claims. We just read some literature about this recently that they are using the program in manners or in a way that rigs the claims handling process to their benefit. In other words, it sets up that the claims are either denied or paid as little as possible. That doesn’t sound like a surprise to me because that is what they do. You have to be prepared for that. You have to understand that is how the system works.
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