How to Appeal the 850 Million Claims Rejected Every Year, and Win 70–90% of the Time (Ep. 44) скачать в хорошем качестве

How to Appeal the 850 Million Claims Rejected Every Year, and Win 70–90% of the Time (Ep. 44)

Every year in the United States, approximately 5 billion healthcare claims are processed, and roughly 17% are denied. That’s about 850 million claim denials annually. Most people assume a denial is final. It’s not. In this episode of The Benefit Whisperer, Ralph Weber sits down with physician and Claimable CEO Warris Bokhari to expose how health insurance denials actually work, and why 96% of appeals can be overturned in some cases. They break down: Why health insurance companies deny so many claims The real reason insurers say they pay “98% of eligible claims” How AI is fueling an arms race in claim denials Why employers are legally responsible under ERISA Transplant and oncology denial cases that turned life-threatening 200+ day payment delays affecting hospitals How specialty drug and pharmacy denials happen Step-by-step insight into how appeals win 70–90% of the time If you’ve ever been told “your insurance won’t cover that,” this episode explains what to do next. Whether you’re: An employee facing a denied claim An HR leader managing a self-funded plan A CFO responsible for healthcare spend Or a provider battling prior authorizations This conversation reveals how the system actually works, and how to fight back. 📌 Share this episode with your HR department, CFO, or benefits consultant. Ralph Weber, The Benefit Whisperer Share with a colleague. Email ralph@thebenefitwhisperer.com · (832) 924-3330 · fixmybenefitsnow.com · Schedule a free 15 minute consultation #HealthcareDenials #InsuranceAppeals #ERISA #HealthInsurance #BenefitWhisperer #ClaimDenied #HealthcareReform #PriorAuthorization #EmployerHealthPlans