Apr 12 • Business & Strategy 🧠
Spent 3 Months Fighting an Insurance Claim That Should Have Been Simple 🥰
My mom had a procedure. Insurance denied the claim. Started a three-month nightmare.
The denial letter made no sense. Referenced wrong procedure code. Listed wrong date. Clearly processed incorrectly.
THE INSURANCE MAZE
Called the insurance company. Waited 47 minutes. Rep said to submit appeal with documentation. Did that. Got another denial. Different reason this time.
Called again. Different rep. Different story. Submit this form. Waited 3 weeks. Denied again.
Every call required re-explaining everything. Nobody had context. Documents scattered across emails, mail, patient portal.
Finally figured out they'd mixed up her claim with someone else's. Three months. Dozens of hours. Stress on my 72-year-old mother.
THE TRACKER I BUILT AFTER
Never again. Built a system for tracking medical claims for our family.
EOB arrives, workflow processes it. Extracts procedure codes, dates, amounts billed, amounts covered, patient responsibility, denial reasons if any.
Flags anything that looks wrong. Amount seems high compared to similar procedures. Denial reason doesn't match procedure type. Dates don't align with appointments we have recorded.
Calculates what we should owe versus what they're saying. Highlights discrepancies.
All claims logged with status. Easy to see what's pending, what's paid, what needs follow-up.
THE PEACE OF MIND
Before: Paper pile, lost EOBs, surprises on credit report, reactive firefighting.
After: Everything tracked, discrepancies caught early, appeals filed promptly with correct documentation.
Caught two errors in the last 6 months. One was $340 they would have overcharged. One was a duplicate bill for something already paid.
My mom still doesn't understand what I built. She just knows "Sarah handles the insurance stuff now."
Anyone else spent months fighting insurance claims that were obviously wrong?
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Spent 3 Months Fighting an Insurance Claim That Should Have Been Simple 🥰
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