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In response to "Here's the rub with that...if you make denials illegal...you open a completely new can of worms." by Jim

i fully agree. i'm talking about fairly open and shut stuff like pre-existing exclusions, rescission for mundane ambiguous shit, etc.

Not that there should never be review of claims. In fact, from as much as people harp on "waste in Medicare", it sounds like no one has a problem with certain types of claim review.

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