Cohere Health – using AI to delay and deny care

Cohere Health – using AI to delay and deny care to hit an 18% return on investment. How is that patient care first? It’s not. I only recently learned that Humana is using a third-party company to process claims while they issue prior authorizations. So just how...

I remember in my early 20s

I remember in my early twenties when I first started working in a nursing home. There are some patients who stick with you, especially in your first years. I had patients with skin cancer and folks who had strokes, but there was one patient who had had polio when she...

CRPS Warriors Foundation Announcement

I am proud to announce that I have accepted a volunteer role as Director of Operations for the CRPS Warriors Foundation. Our foundation is dedicated to providing vital support, education, and resources for CRPS patients and their families. We champion research...

We Need Your Voice!

Click here to learn more Click HERE to RSVP! Click here to learn more about The Patients Union, join for free today and be a founding member of our national...

When your mailed in claims end up with the Santa clause letters.

I swear I mail in my claims for reimbursement and they disappear when they hit Humana’s P.O. Box in Kentucky. Another reason to hate that state. I swear my claims endup with santa’s letters. How do you fight a claim they refuse to admit exists no matter...