The Mystery Behind Health Insurance Claim Denials

UnitedHealthcare is under scrutiny for its high claim denial rates, with reports suggesting it has the highest rate in the industry at 32%. The company's CEO was recently shot, with shell casings found at the scene bearing words associated with insurance denial tactics. Despite regulations allowing for transparency, the federal government has not collected or shared much data on claim denials. Reports indicate that denials, particularly for Medicare Advantage plans, have been increasing, with AI tools being used to deny claims.