Hello, I’m Jung Joon-up, a certified labor consultant and damage assessor.A few months ago, I got a call from a friend who works for Suhyup Fishing Boat Mutual Aid. An acquaintance of mine had surgery for uterine myoma, and he wanted to ask me if the insurance company had not paid the insurance money. As soon as I heard the contents, I expected it to be a hypothetical procedure.
high-intensity focused ultrasound
It is a procedure that burns tumors using high-intensity ultrasound.
Sea surgery has been recognized as an effective treatment for uterine myoma as it shows a continuous decline after treatment with new medical technology, and symptoms such as bleeding and pain that patients are aware of tend to be relieved.Therefore, there is no reason for insurers to refuse to pay Hypsilby insurance.
Then, why do you refuse to pay Hypsilby insurance?
The Korean Society of Obstetrics and Gynecology has prepared guidelines for hype.The guidelines recommend that you use hypotherapy in such cases.
Premenopausal patients with uterine myoma or uterine adenomyopathy with symptoms such as bleeding, anemia, and pain are eligible.
Also, as a precaution
1. If the size of uterine myoma exceeds 12cm 2. Multiple uterine myoma is expected to be treated for a long time 3. Less than 3 uterine adenomyosis 4. Scars on abdominal path through ultrasound 5. Abdominal liposuction history 6. Previously, high-intensity ultrasound focusing was not effective
1. Pregnant women 2. Malignant lesions related to female genitals are suspected or diagnosed 3. Reproductive organ inflammation such as pelvic inflammation 4. Severe systemic diseases may be present.As a recommendation, if you have a pregnancy plan in the future, it is recommended as contraindication because sufficient clinical data has not yet been secured.
Insurance company medical consultation and reasons for exemption from insurance claims
The insurance company refuses to pay Hypsilbi insurance money because it does not meet the above medical guidelines through medical advice.
However, medical advisors often interpret arbitrarily from the perspective of insurance companies that pay advisory fees.The insurance company’s medical advice said that there were no symptoms caused by uterine myoma in the mandatory records, but after reviewing the mandatory records, it was confirmed that there was pain.Upon receiving a request for damage assessment, we reviewed the insurance company’s medical advice and patient medical records and submitted a damage assessment to the insurance company, and the insurance company paid Hypsilby insurance without any objection.In fact, it is strange to refuse insurance payments based on the opinion of an advisory doctor who does not treat patients, but isn’t it right to raise an objection to a hospital that gave up 100 times and gave hypotherapy to someone who doesn’t need treatment? This is Jung Joon-up, the man who loses money.Thank you.Tip. Insurance companies are trying to reduce the loss rate of hyped procedures in various ways.In order to be recognized as sick hospitalization, it must be recognized as hospitalization in the daytime ward.In fact, it is strange to refuse insurance payments based on the opinion of an advisory doctor who does not treat patients, but isn’t it right to raise an objection to a hospital that gave up 100 times and gave hypotherapy to someone who doesn’t need treatment? This is Jung Joon-up, the man who loses money.Thank you.Tip. Insurance companies are trying to reduce the loss rate of hyped procedures in various ways.In order to be recognized as sick hospitalization, it must be recognized as hospitalization in the daytime ward.Jung Joon-up certified labor attorney/damage assessor click→ 010-2411-8692Jung Joon-up certified labor attorney/damage assessor click→ 010-2411-8692Previous Image Next ImagePrevious Image Next ImagePrevious Image Next Imagehttps://www.youtube.com/shorts/WwGJng0q2L4