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Archive for the ‘Physician Issues’ Category

Anyone who has a medical license should be considered a “doctor” first and an employee of an insurance company second. While the growing trend in disability insurance is to hire physicians and vendor groups to “rubber stamp” denial decisions little public attention is being paid to how these insurance-paid physicians risk insureds’ health and well-being. [...]

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In general terms ERISA claimants are by virtue of their policies required to “submit proof of loss at their own expense.” This includes routine monthly progress reports, and other forms submitted directly to the claimant from the insurer. However, on those occasions when the insurance company sends requests directly to the physician, it is the insurer [...]

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I’ve been writing quite a few articles lately about physicians getting frustrated with the endless requests for information in addition to harassing frequent calls. Today I was notified by one of our clients his neurologist “fired” him because of the number of calls his Unum claims handler made to her office. Apparently, the claims specialist even got into arguments [...]

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Unfortunately, the current trend of Unum is to make  repeated and persistent requests to physicians for completed forms and patient notes. DCS frequently speaks with a wide variety of physicians and mental health providers across the United States as part of our consulting case management. There is a growing “anger” and “frustration” on the part [...]

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