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Walkthrough of UHC’s claim reimbursement form game

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41–50 of 53 posts

Re: Walkthrough of UHC’s claim reimbursement form game

#41
post #22

It's appropriate to pick on UHC here but a lot of this insanity derives from rulemaking by Health & Human Services and Center for Medicare/Medicaid Services with a healthy dose of legacy everything thrown in. Even if you really wanted to fix this in an overall way you cannot without acts of congress, rulemaking by federal departments and individual legislation in each of the states and local medical jurisdictions. UH…

Hmmm almost none of the process has to do with HHS. UHC could make this a lot easier. That's why we submit via mail instead - that makes it their problem.

Re: Walkthrough of UHC’s claim reimbursement form game

#42
post #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?

It's very likely that the UX used by the hospital workers is not browser based.

Re: Walkthrough of UHC’s claim reimbursement form game

#43
post #22

It's appropriate to pick on UHC here but a lot of this insanity derives from rulemaking by Health & Human Services and Center for Medicare/Medicaid Services with a healthy dose of legacy everything thrown in. Even if you really wanted to fix this in an overall way you cannot without acts of congress, rulemaking by federal departments and individual legislation in each of the states and local medical jurisdictions. UH…

> UHC has no inventive to make it easy to submit a claim

Interestingly, though, they do have an incentive to make it hard to submit a claim!

Re: Walkthrough of UHC’s claim reimbursement form game

#44

Earlier quoted context omitted.

It also has Peter Sellers and Peter Sellers!

It was also supposed to have Peter Sellers in it, but he twisted his ankle and couldn't do the role. Slim Pickens was the perfect choice for Maj. Kong; Sellers could not have pulled it off.

> Slim Pickens was the perfect choice for Maj. Kong; Sellers could not have pulled it off.

I understand they never told him it was a comedy.

Re: Walkthrough of UHC’s claim reimbursement form game

#45
post #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?

Well, they're using a single Approved Browser (perhaps IE 6.0?) instead of those weird Safari and Firefox things.

But on a more serious note I wouldn't necessarily assume that any "UX helpers" exist, it's plausible that some overworked healthcare worker is using the exact same system and just has more experience in doing so.

Re: Walkthrough of UHC’s claim reimbursement form game

#49

Earlier quoted context omitted.

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...

As someone who also had to support a large org moving to this (oh god why), I strongly agreez

Re: Walkthrough of UHC’s claim reimbursement form game

#50

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!

Same in Australia for most doctors (bulk billing). You usually only have to give them your card once.

If your doctor doesn't bulk bill though the process becomes more difficult.

You have to go onto a government website (fairly modern one), and upload your receipt for reimbursement within a few days. Or if that's too hard, just visit a local medicare office and they'll do it for you. Tough!

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