22 Jul, 2021 → by ClaimboUser245852
Peer to peer review
1
My husband is due heart surgery necessary before having a mytral valve repair. Today is 7/22/21. The surgery is scheduled for 3PM tomorrow. Humana has insisted on a peer to peer review, resulting in the hospital saying we will be responsible for all charges if Humana does not come through. A cardiac surgeon from the University of Colorado Medical has requested this surgery. What right does ANY insurance company have thinking they know more than the doctors who are personally involved with the patient? A mitral valve regurgitation of 35% (which my husband has) is over 50% fatal if not treated. Not only is Humana playing games with my husband's life, but the "peer-to-peer" practice itself is detrimental to ALL patients. It exists ONLY to save money for the insurance companies.