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May 26, 1978

The Continuing Insurance Problem

Author Affiliations

Homewood, Ill

JAMA. 1978;239(21):2242. doi:10.1001/jama.1978.03280480034014

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To the Editor.—  This is a sequel to my previous letter, "The Increasing Insurance Problem" (223:1391, 1973). There I dealt with the insurance companies presuming to set prices for the specialists. Now I shall deal with an even more basic problem, the way our claims are being handled by the various insurance companies.In the last ten years, the simple act of submitting a claim to the insurance company has become bogged down with complications. If a mere hyphen between numbers is inadvertently omitted, the claim is returned to the physician with a notice that the patient's insurance claim number is incorrect and that the claim must be resubmitted with the correct number. The physician's office staff must recheck the patient's file for the information, insert the hyphen in the correct place, fill out another form, mail it to the insurance company, and wait—wait—wait—for either another rejection, perhaps a payment,