{"id":57518,"date":"2023-05-18T07:16:54","date_gmt":"2023-05-18T13:16:54","guid":{"rendered":"http:\/\/www.ancientrails.com\/?p=57518"},"modified":"2023-05-18T07:18:31","modified_gmt":"2023-05-18T13:18:31","slug":"denial-is-not-only-a-river-in-egypt","status":"publish","type":"post","link":"https:\/\/www.ancientrails.com\/?p=57518","title":{"rendered":"Denial is not only a river in Egypt"},"content":{"rendered":"<p>Beltane and the Mesa View Moon<\/p>\n<p>Thursday gratefuls: Rain. A gray Sky. Wet Lodgepole Needles. A driveway slick with Rain. Kate, always Kate. Her memory, a blessing. Jon, a memory. Gabe and Seo coming up this weekend. Leo, coming today for a long visit. My son and his wife. Murdoch. Safely in Korea. This Henry Miller chair. Pixels. Computer chips. Keyboards. Screens. Speakers and cameras. Zoom. Diane. Israel trip is on.<\/p>\n<p>Sparks of Joy and Awe: Travel gettin&#8217; real<\/p>\n<p>One brief shining: Read an article about insurance companies increasing denials for claims including a job title denial nurse and I looked over at my denied claims for my radiation thinking how long can this uncertainty go on looking at the trajectory of my life, damning the American I don&#8217;t even know what to call it but health care system is not it.<\/p>\n<p>&nbsp;<\/p>\n<p>Generally I sleep well. Last night though. Those damned insurance companies. Well, to be specific, Travelers and AARP Secure Advantage. Discovered I&#8217;d missed a significant increase in my home insurance. Went from $4,500 to $5,500. Came last October in the midst of the turmoil over Jon&#8217;s death. Guess I didn&#8217;t read it. Learned about it when my mortgage payments went up. Wildfire related.<\/p>\n<p>AARP so called Secure Advantage sent me a nice note denying payment for my radiation. I called Urology Associates billing and Nick, bless his heart, said I was not responsible for any denied payments. Good. But. This article in yesterday&#8217;s Washington Post: <a href=\"https:\/\/www.washingtonpost.com\/opinions\/2023\/05\/17\/health-insurance-denial-claims-reasons\/\">Denials of Insurance Claims Are Rising-And Getting Weirder<\/a> caught my attention because I read it the same day I got the note from Insecure advantage. This one is on top of the already existing hassle with Centura Health over my bone scan last August. $5,200.<\/p>\n<p>What I crave is predictability. Cancer and how to treat it creates enough chaos. I don&#8217;t need to add to that wondering if my treatments will get paid for. The system is not understandable. My doctors advise me as to the best course of treatment. I follow their advice. Another layer of surveillance by me? To see if insurance company rules have been followed? But which ones? For whom? It&#8217;s. Just. Too. Fucking. Complicated.<\/p>\n<p>Even though I&#8217;m not liable for the denied claims it injects a wondering about future treatments. If Insecure Advantage keeps refusing to pay, will my providers stop caring for me? Dr. Simpson, my radiation oncologist, recommended I switch back to original Medicare when the enrollment season opens up in October. He said it would be easier.<\/p>\n<p>I need to compare Insecure Advantage with original Medicare. I have a good insurance agent whom I&#8217;m going to talk to. We&#8217;ll see what comes of that.<\/p>\n<p>This is, I suppose, whining. But I&#8217;m not alone. No sirree. Read that WP article. Our health should not be captive to bean counters trying to maximize profits at the expense of our well-being. Should not be. However. It is.<\/p>\n<p>If you read that article, you&#8217;ll find embedded in it observations about algorithms and AI being used to deny claims with no human in the stream of accountability. Welcome, my dear readers. To the future.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Beltane and the Mesa View Moon Thursday gratefuls: Rain. A gray Sky. Wet Lodgepole Needles. A driveway slick with Rain. Kate, always Kate. Her memory, a blessing. Jon, a memory. Gabe and Seo coming up this weekend. Leo, coming today for a long visit. My son and his wife. Murdoch. Safely in Korea. This Henry &hellip; <a href=\"https:\/\/www.ancientrails.com\/?p=57518\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Denial is not only a river in Egypt<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[127,100],"tags":[],"class_list":["post-57518","post","type-post","status-publish","format-standard","hentry","category-health","category-politics"],"_links":{"self":[{"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/posts\/57518","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=57518"}],"version-history":[{"count":3,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/posts\/57518\/revisions"}],"predecessor-version":[{"id":57521,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/posts\/57518\/revisions\/57521"}],"wp:attachment":[{"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=57518"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=57518"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=57518"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}