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Walkthrough of UHC’s claim reimbursement form game

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Re: Walkthrough of UHC’s claim reimbursement form game

#31

So in Canada, you go to the doctor. You give them your health card. Then you leave. That's all. The doctor uses the standard provincial billing system to get their money. This seems far more exciting though!

That is how it was in the US with private insurance 30 years ago. But then everybody involved bulked up so they could improve shareholder value (i.e. executive comp).

Re: Walkthrough of UHC’s claim reimbursement form game

#32
post #14

I submitted a claim with Oxford (UHC subsidiary) and got the most “I can't believe it's not phishing” email as a result. It came from a GoDaddy-parked domain (oxfordteam.com), and it claimed to be a “secure message” in the form of an attachment. The crazy thing is, it was entirely legitimate. I kept a screenshot: https://twitter.com/paulgb/status/1390331121544671233/photo/...

Ahh Cisco Registered Envelope Service! I reported that internally when I worked there, and I wasn't the first.

You'd expect this to be just some ancient software, but I found an internal Jira where someone was provisioning dozens of new instances all the time as of 2021.

It's so bad. It conditions users to open .html attachments from unexpected email addresses AND enter passwords into the webpage!

Re: Walkthrough of UHC’s claim reimbursement form game

#33

> When it opened the new tab, I copied the URL from there and pasted it into Firefox! Success! It sounds like the trick to get around Psycho Mantis' infuriating "I can read your mind!" gambit. Logical conclusion: UHC hired Kojima to make their claims process more enjoyable.

Lol I get the feeling that even Kojima would balk at the absurdity of such a process.

Re: Walkthrough of UHC’s claim reimbursement form game

#34
post #21

Not defending this, but what you are doing is entering claims information exactly how a hospital / clinician would have to. A lot of this is done automatically by software now. This isn't a dark-pattern, it's just slapping a shitty user interface on top of a standard claims billing process. It's sort of like using POSTMAN to interact with an API.

Then why can’t customers like him get the UX helpers that hospitals would have. Presumably they’re not swapping browsers all day?

Re: Walkthrough of UHC’s claim reimbursement form game

#35
post #20

So in Canada, you go to the doctor. You give them your health card. Then you leave. That's all. The doctor uses the standard provincial billing system to get their money. This seems far more exciting though!

This misses the part of the game where the doctor's office has you fill out forms giving them a bunch of the same info they already have. Twice. In the same visit. This may take 20 or more minutes. For no good reason whatsoever. Then the ongoing ARG portion where you have to repeatedly sit on hold for hours with the provider's billing department, insurance, and the state insurance commission and/or your congressperso…

>the greatest antagonists of the American edition: the people whose entire job is to wander around emergency rooms bugging very sick people about payment and insurance.

Lol yes! One time I woke up with debilitating nerve pain shooting down my writing arm and went to the ER.[1] One of those people kept bugging me until I snapped and said, “I am totally happy to fill that out, just the moment my arm is functioning again.”

[1] Yes in retrospect should have gone to an urgent care, although I suspect they wouldn’t have been helpful either.

Re: Walkthrough of UHC’s claim reimbursement form game

#36

Earlier quoted context omitted.

https://imgur.com/a/9E4mrrU Just cleared the inspector panel after loading login page, and entering my login information, hit submit, and waited for things to settle after the home page load. Adobe, Facebook, Google, etc. All told that I just logged into Health Insurance account. Or Given more details. shrugs .

My guess would be that they're using Adobe Fonts, which is a pretty popular service for web fonts.

That's a good guess, but I know a couple people who worked for Optum and they told me that they use Adobe Experience Manager [1] as a CMS to allow business and marketing folks to change content. I bet that's what the the Adobe redirect in the URL bar is referring to.

[1] https://business.adobe.com/products/experience-manager/adobe...

Re: Walkthrough of UHC’s claim reimbursement form game

#37

So in Canada, you go to the doctor. You give them your health card. Then you leave. That's all. The doctor uses the standard provincial billing system to get their money. This seems far more exciting though!

Except for things the government doesn't cover that your private insurance covers.

Family members have had plenty of denials and crappy paperwork too.

And just like the US, paying cash is often the easiest path forward.

Re: Walkthrough of UHC’s claim reimbursement form game

#38

Earlier quoted context omitted.

https://imgur.com/a/9E4mrrU Just cleared the inspector panel after loading login page, and entering my login information, hit submit, and waited for things to settle after the home page load. Adobe, Facebook, Google, etc. All told that I just logged into Health Insurance account. Or Given more details. shrugs .

My guess would be that they're using Adobe Fonts, which is a pretty popular service for web fonts.

That wouldn't require a browser bar redirect though. You just include fonts in your CSS or HTML, the user never sees it.

Re: Walkthrough of UHC’s claim reimbursement form game

#39
From the way the author explains the data they are required to enter, it sounds like a HCFA 1500 form they are completing, which is a standardized form. It is not simple for first timers, and it looks like UHC's web-based implementation might overcomplicate things. Youtube has some good overviews of how to complete the form. With the actual paper form in front of you it makes more sense (the form also includes definitions and instructions on the back). Many providers will provide the completed form for you after payment for easier reimbursement, but submitting paper as opposed to filing electronically, at the expense of a quicker turn around time.

Re: Walkthrough of UHC’s claim reimbursement form game

#40

From the way the author explains the data they are required to enter, it sounds like a HCFA 1500 form they are completing, which is a standardized form. It is not simple for first timers, and it looks like UHC's web-based implementation might overcomplicate things. Youtube has some good overviews of how to complete the form. With the actual paper form in front of you it makes more sense (the form also includes defini…

> Youtube has some good overviews of how to complete the form.

This is the most unhelpful comment Ive seen in a long time. YouTube has billions of videos, and now that downvotes are hidden, its quite difficult to even determine what videos are of any value.

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