"I'm sort of a known skeptic on this stuff," Gruber told me. "My summary is it's really hard to figure out how to bend the cost curve, but I can't think of a thing to try that they didn't try. They really make the best effort anyone has ever made. Everything is in here....I can't think of anything I'd do that they are not doing in the bill. You couldn't have done better than they are doing."
The US desperately needs to remove most of the incumbents
*Claim/service lacks information which is needed for adjudication. At least one Remark Code must be provided (may be comprised of either the Remittance Advice Remark Code or NCPDP Reject Reason Code).
*These are non-covered services because this is not deemed a ‘medical necessity’ by the payer.
*Claim not covered by this payer/contractor. You must send the claim to the correct payer/contractor.
It sounds so easy and obvious--health insurance for everyone. And the concept--the moral imperative--is an easy one for everyone in this country to get behind. At every economic level, across the political spectrum, no one wants to deny healthcare to anyone. No one in this country is a monster.
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