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'Out of control': Cancer surgeon claims UnitedHealthcare questioned her mid-procedure [View all]
https://www.rawstory.com/out-of-control-cancer-surgeon-tells-of-insurance-co-questioning-her-mid-procedure/'Out of control': Cancer surgeon claims UnitedHealthcare questioned her mid-procedure
Jennifer Bowers Bahney
Jan 9, 2025
A breast cancer surgeon had to "scrub out mid-surgery" to call a UnitedHealthcare representative because the insurance giant questioned whether the procedure she was in the middle of performing was really necessary.
Dr. Elisabeth Potter posted her story to Instagram this week, and the post has gotten more than 221,000 likes.
She continued, saying that while performing a Deep Inferior Epigastric Perforator, or "DIEP," breast reconstruction for a cancer patient, "I got a phone call into the operating room saying that UnitedHealthcare wanted me to call them about one of the patients who was having surgery today who's actually asleep, having surgery."
"And, you know, said I had to call 'right now.' So, I scrubbed out of my case and I called UnitedHealthcare, and the gentleman said he needed some information about her. Wanted to know her diagnosis and whether her inpatient stay should be justified. And I was like, 'Do you understand this? She's asleep right now and she has breast cancer?' And the gentleman said, 'Actually, I don't that's a different department that would know that information.'"
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'Out of control': Cancer surgeon claims UnitedHealthcare questioned her mid-procedure [View all]
cbabe
Jan 2025
OP
Insurance is out of control, yes; but why did the surgeon take the call mid-procedure?
unblock
Jan 2025
#2
I think once the procedure has started, they should finish it and resolve any insurance matters after
unblock
Jan 2025
#6
That sounds correct and medically best. Until lawyers and money people stick their noses in. Which is the stupid
cbabe
Jan 2025
#8
It's amazing how some people want to put the onus on the healthcare provider. . .
UniqueUserName
Jan 2025
#10
Yeah. Poor judgement. I wouldn't want her as my surgeon for anything more than a hangnail.
3Hotdogs
Jan 2025
#38
I agree in principle, but there's a major power disparity in play here that can't be ignored.
ShazzieB
Jan 2025
#39
So what happens if half a surgery takes place, then is put on hold for more insurance questions.
unblock
Jan 2025
#35
While I don't want to criticize the surgeon, but she was not "asleep!" She was under GD ANESTHESIA!!!
hlthe2b
Jan 2025
#4
I'm sure the surgeon fully understands the terms, but I'll give them a pass when talking to a reporter
unblock
Jan 2025
#7
Give me a damned break. I did not remove the insurance idiot's responsibility, but the surgeon
hlthe2b
Jan 2025
#12
Of course I understand it. Just saying either the surgeon or the reporter or the editor might have dumbed it down
unblock
Jan 2025
#18
What the hell? I never even implied that the surgeon did NOT understand the terms. WTF?
hlthe2b
Jan 2025
#11
I am talking about what the surgeon said to the insurance official, not a reporter. It is the surgeon's
hlthe2b
Jan 2025
#23
I have no particular insight into that conversation except the surgeon's account as filtered through the reporting
unblock
Jan 2025
#24
Yes... Thank you for taking the time to read & think about it rather than make the accusations
hlthe2b
Jan 2025
#21
"Collins described crying .. while handling calls from desperate patients, as supervisors laughed." [UnitedHealthcare]
progree
Jan 2025
#14