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  #1  
Old 02-11-2016, 01:37 AM
Tabe's Avatar
Tabe Tabe is offline
Chris
Chr.is Ta.bar
 
Join Date: Aug 2010
Location: Spokane, WA
Posts: 1,502
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Four years ago, my wife started going through chemo. For five months, and had 3-5 different insurance items per week, almost always the same, every week. I would estimate at least 80% of all her claims were initially denied. A ton of them were denied for her doctor being out of network (he wasn't) - over and over and over. I'd fight it on one claim and they'd use the same denial a week later. I eventually threatened a lawsuit and a complaint to the insurance commissioner and that got the issues stopped.

In another case, my insurance company lied to me about coverage for an MRI. It was the end of the year and they were giving me the runaround to push the test into the new year, reseting my deductible. It worked. I had proof they had lied and got my employer to fight on my behalf and get the MRI treated as if it had occurred before the new year.

I probably have another dozen stories.

Suffice to say, there is no doubt in my mind that insurance companies do false denials as a matter of course.
  #2  
Old 02-11-2016, 06:52 AM
1952boyntoncollector 1952boyntoncollector is offline
ja.ke liebe.rman
 
Join Date: Sep 2014
Location: https://www.psacard.com/psasetregistry/mysetregistry/set/348387
Posts: 5,792
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Quote:
Originally Posted by Tabe View Post
Four years ago, my wife started going through chemo. For five months, and had 3-5 different insurance items per week, almost always the same, every week. I would estimate at least 80% of all her claims were initially denied. A ton of them were denied for her doctor being out of network (he wasn't) - over and over and over. I'd fight it on one claim and they'd use the same denial a week later. I eventually threatened a lawsuit and a complaint to the insurance commissioner and that got the issues stopped.

In another case, my insurance company lied to me about coverage for an MRI. It was the end of the year and they were giving me the runaround to push the test into the new year, reseting my deductible. It worked. I had proof they had lied and got my employer to fight on my behalf and get the MRI treated as if it had occurred before the new year.

I probably have another dozen stories.

Suffice to say, there is no doubt in my mind that insurance companies do false denials as a matter of course.

If insurance companies paid claims on time and fairly then lawyers would never be needed to sue them i would think....
  #3  
Old 02-11-2016, 06:56 AM
Leon's Avatar
Leon Leon is online now
Leon
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Location: near Dallas
Posts: 35,691
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If this thread stays off topic it is going to be closed eventually.
__________________
Leon Luckey
www.luckeycards.com
  #4  
Old 02-11-2016, 08:49 AM
keithsky keithsky is offline
keith janosky
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Join Date: May 2009
Posts: 1,512
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Quote:
Originally Posted by Leon View Post
If this thread stays off topic it is going to be closed eventually.
Thanks for that message Leon, Getting real tired of listening about insurance companys and lawyers. Wow did this post get way off tract from starting about shill bidding and auction houses
  #5  
Old 02-11-2016, 09:08 AM
dwightclarkJ dwightclarkJ is offline
clark J
Clar.k Ja.lo
 
Join Date: Feb 2016
Posts: 17
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Quote:
Originally Posted by keithsky View Post
Thanks for that message Leon, Getting real tired of listening about insurance companys and lawyers. Wow did this post get way off tract from starting about shill bidding and auction houses
I am sure that tactic was deployed for that very reason. I believe that this is a very touchy subject and many people have they're reasons for wishing this would end and go away.
  #6  
Old 02-11-2016, 09:19 AM
bobbyw8469's Avatar
bobbyw8469 bobbyw8469 is offline
Robert Williams
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Join Date: Aug 2009
Location: North Carolina
Posts: 9,136
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Quote:
Originally Posted by dwightclarkJ View Post
I am sure that tactic was deployed for that very reason. I believe that this is a very touchy subject and many people have they're reasons for wishing this would end and go away.
+1
  #7  
Old 02-11-2016, 11:51 AM
dwightclarkJ dwightclarkJ is offline
clark J
Clar.k Ja.lo
 
Join Date: Feb 2016
Posts: 17
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Quote:
Originally Posted by bobbyw8469 View Post
+1
I got into a bad accident in which a teenage driver totaled my car. Fortunately the teenage driver was insured under parents insurance policy. I am thankful that only the car was totaled and I wasn't shilled.
clark J
  #8  
Old 02-11-2016, 11:12 AM
WindyCityGameUsed's Avatar
WindyCityGameUsed WindyCityGameUsed is offline
"The Real" Ron Kosiewicz
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Join Date: Feb 2016
Posts: 57
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Quote:
Originally Posted by dwightclarkJ View Post
I am sure that tactic was deployed for that very reason. I believe that this is a very touchy subject and many people have they're reasons for wishing this would end and go away.
Its insane and totally ignorant that anyone would think/hope that a matter of this gravity that's been spoken about in alarming detail in this thread would just go away.

Some common sense advise to the responsible parties:
1. Take responsibility for your actions!!!
2. STOP hiding cause we see U
3. Say your sorry and mean it!!!
4. Attempt to make amends to the community as a whole
5. STOP trying to ban the TRUTH

Seems to me that taking responsibility and making amends would be a lot easier than say for instance:
1. Searching the internet in paranoid damage control trying to suppress the truth.
2. Trying to pressure/threaten forums into being a part of the apparent ongoing cover up of bad behavior by discouraging forum management from allowing open discussion in regards to this subject matter which quite frankly has affected most if not all in the hobby on some level.
3. Using designated plants to deflect attention or derail ongoing forum discussions
4. Running internet IP addresses on posters
5. Reiterating the same bogus company line
6. Thinking of new lies to tell and subsequently having to remember said lies.

I can't say Thank You enough to Net54 & Leon again for having the courage to allow an open forum about this subject matter because as far as I can tell in my searches of other sites freedom of speech does not exist unless it sticks to the script.

Ron Kosiewicz
  #9  
Old 02-11-2016, 11:16 AM
dwightclarkJ dwightclarkJ is offline
clark J
Clar.k Ja.lo
 
Join Date: Feb 2016
Posts: 17
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Quote:
Originally Posted by WindyCityGameUsed View Post
Its insane and totally ignorant that anyone would think/hope that a matter of this gravity that's been spoken about in alarming detail in this thread would just go away.

Some common sense advise to the responsible parties:
1. Take responsibility for your actions!!!
2. STOP hiding cause we see U
3. Say your sorry and mean it!!!
4. Attempt to make amends to the community as a whole
5. STOP trying to ban the TRUTH

Seems to me that taking responsibility and making amends would be a lot easier than say for instance:
1. Searching the internet in paranoid damage control trying to suppress the truth.
2. Trying to pressure/threaten forums into being a part of the apparent ongoing cover up of bad behavior by discouraging forum management from allowing open discussion in regards to this subject matter which quite frankly has affected most if not all in the hobby on some level.
3. Using designated plants to deflect attention or derail ongoing forum discussions
4. Running internet IP addresses on posters
5. Reiterating the same bogus company line
6. Thinking of new lies to tell and subsequently having to remember said lies.

I can't say Thank You enough to Net54 & Leon again for having the courage to allow an open forum about this subject matter because as far as I can tell in my searches of other sites freedom of speech does not exist unless it sticks to the script.

Ron Kosiewicz
Ron, Thanks for the concise, to the point and accurate post. You nailed a substantial part of what is ignored on this topic. What is truly shaking my head is how this thread derailed and got on topic of insurance companies and mouth pieces talking about cases. If they are genuine posts but just got off topic then they should seek out an attorneys forum, which i'm sure they exist as they love to keep that soap box going(kidding). I was actually just in the audience and decided to joined this forum after the last 2 -3 pages of weird posts . And yes thanks to this forum.
clark J

Last edited by dwightclarkJ; 02-11-2016 at 11:25 AM.
  #10  
Old 02-13-2016, 08:15 AM
dwightclarkJ dwightclarkJ is offline
clark J
Clar.k Ja.lo
 
Join Date: Feb 2016
Posts: 17
Default IP Address

Quote:
Originally Posted by WindyCityGameUsed View Post
Its insane and totally ignorant that anyone would think/hope that a matter of this gravity that's been spoken about in alarming detail in this thread would just go away.

Some common sense advise to the responsible parties:
1. Take responsibility for your actions!!!
2. STOP hiding cause we see U
3. Say your sorry and mean it!!!
4. Attempt to make amends to the community as a whole
5. STOP trying to ban the TRUTH

Seems to me that taking responsibility and making amends would be a lot easier than say for instance:
1. Searching the internet in paranoid damage control trying to suppress the truth.
2. Trying to pressure/threaten forums into being a part of the apparent ongoing cover up of bad behavior by discouraging forum management from allowing open discussion in regards to this subject matter which quite frankly has affected most if not all in the hobby on some level.
3. Using designated plants to deflect attention or derail ongoing forum discussions
4. Running internet IP addresses on posters
5. Reiterating the same bogus company line
6. Thinking of new lies to tell and subsequently having to remember said lies.

I can't say Thank You enough to Net54 & Leon again for having the courage to allow an open forum about this subject matter because as far as I can tell in my searches of other sites freedom of speech does not exist unless it sticks to the script.

Ron Kosiewicz
I get 1,2,3,5,6 of 2nd list. BUT #4)Running internet IP addresses on posters.
WTF? what purpose do this serve?
Clark
  #11  
Old 03-19-2016, 09:22 AM
dhernandez dhernandez is offline
David Hernandez
Banned
 
Join Date: Jan 2015
Location: Victorville, CA
Posts: 47
Default

Quote:
Originally Posted by WindyCityGameUsed View Post
Its insane and totally ignorant that anyone would think/hope that a matter of this gravity that's been spoken about in alarming detail in this thread would just go away.

Some common sense advise to the responsible parties:
1. Take responsibility for your actions!!!
2. STOP hiding cause we see U
3. Say your sorry and mean it!!!
4. Attempt to make amends to the community as a whole
5. STOP trying to ban the TRUTH

Seems to me that taking responsibility and making amends would be a lot easier than say for instance:
1. Searching the internet in paranoid damage control trying to suppress the truth.
2. Trying to pressure/threaten forums into being a part of the apparent ongoing cover up of bad behavior by discouraging forum management from allowing open discussion in regards to this subject matter which quite frankly has affected most if not all in the hobby on some level.
3. Using designated plants to deflect attention or derail ongoing forum discussions
4. Running internet IP addresses on posters
5. Reiterating the same bogus company line
6. Thinking of new lies to tell and subsequently having to remember said lies.

I can't say Thank You enough to Net54 & Leon again for having the courage to allow an open forum about this subject matter because as far as I can tell in my searches of other sites freedom of speech does not exist unless it sticks to the script.

Ron Kosiewicz
Seems like item 3 of your 2nd column being employed again by "The Real" on his expert opinions and prospective buying. Yet of course this "guy" has never posted nor talked about anything he collects. I guess threat color code has lessened to yellow.

Last edited by dhernandez; 03-19-2016 at 09:24 AM. Reason: spelling
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