The role of insurers in direct healthcare services may be debatable but I have at least one positive personal story worth sharing. It involves a claims review, a proactive call from my insurance company to schedule a needed test, and the test done in my home at my convenience a few weeks later.
Blog readers may remember my recent reference to a bad fall and injury. I have a fractured pelvic bone. When I was discharged from the ED, they ordered follow-up visits with my PCP and an ortho physician. I did a virtual visit with my PCP the next week and scheduled the in-person ortho appointment for the week after that. At the ortho appointment the physician said I should get another bone density test. I hadn’t had one for several years. I assumed she would put in an order, and I would get a call about scheduling the test.
The day after the ortho visit, I did get a call. But is from my insurance company. They said that based on claims info, I had fallen in the past year so I should get a bone density test. I asked if that was per my ortho and they said no, it was based on the claims info. Can I vouch for the interconnection between these two conversations? No. But I knew I needed the test so continued with the call. Continue reading