My wife broke her ankle and insurance denied the entire claim for being “not medically necessary”. The “medical professional” (not doctor) who denied the claim had experience in OBGYN, not orthopedics.
100% going to win the appeal because like, we have x-rays of the shattered bones in her leg, but seriously wtf. People seriously believe this is the ideal medical system?
I’m not a lawyer, but a piece of legal advice I’ve seen repeated many times is “Never threaten to sue. Just sue.”
As soon as you threaten to sue, you’ll never be able to talk to anybody except the legal team, and they’ll do nothing to help your case.