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Dr Murphy WeightLoss Profile picture
@TakeWeightOffMD
Jun 5 • 13 tweets • 11 min read Twitter logo Read on Twitter
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Hey @propublica here’s a story about a company named $CI using #AI DENIAL BOTS TO DENY COVID 19 TESTS. Mind you FFCRA & CARES ACT mandated covid test payments. I won’t review the law here but suffice it to say @Cigna has violated federal law here. Patients have sued $CI and we… twitter.com/i/web/status/1…
But here is where the plot gets interesting @Cigna uses medical management decision to deny a federally mandated and @US_FDA APPROVED COVID-19 test called @BioFireDX using Medical Coverage Policy 0530. Yes, Yes insurer violating Federal law while @USDOL or @HHSGov doesn’t hold… twitter.com/i/web/status/1… ImageImage
PXDX remember this? propublica.org/article/cigna-… ImageImage
propublica.org/article/cigna-… HOLEEEE SHEEEEEETTTT!!! $CI USING AI TO VIOLATE FEDERAL COVERAGE MANDATES. @EdGainesIII can you imagine????
@michaelcburgess I’m missing you tomorrow due to Illness but you must discuss this. propublica.org/article/cigna-… $CI @Cigna using AI to violate a law YOU HELPED ENACT! They are thumbing their nose at you and Congress. No on @HHSGov nor @USDOL is enforcing the laws. What are you going… twitter.com/i/web/status/1…
Remember this? CONGRESS WANTED COVID TESTING AND ASSOCIATED SERVICES COVERED.
You didn’t expect Dave Cordani to use AI TO AUTODENY COVID TESTING CLAIMS @FrankPallone @michaelcburgess @mass_marion what is going on here?
propublica.org/article/cigna-… PXDX
$CI @Cigna is bold enough to put it on their letters. Covid testing denied using medical management AND ARTIFICIAL INTELLIGENCE. Despicable. ImageImageImage
Oh and I totally forgot $DIS @Disney IS ALSO CULPABLE $CI doing this on behalf of @Disney #Disney100 #Disney @propublica how can you not see this story for what it is! INSANE. Image
How are they buying back shares? Oh, premiums dedicated for health care providers. ImageImageImageImage
@propublica @DutchRojas $CI with the “these are not the droids you are looking for” twitter.com/i/web/status/1… Image
As a reference, $CI $UNH $ELV $CVS denying the medical care provided at the testing AND the #COVID19 testing.

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More from @TakeWeightOffMD

Dr Murphy WeightLoss Profile picture
May 21
Given the huge amount of traction this post gave. I want to dive into what it means for you, as a patient who may have gotten their medical claim denied by insurance. You can read the thread.
But TLDR; if your medical care claim was denied due to timely filing it was a violation of federal law and YOU HAVE LIMITED TIME AND MUST DO THIS NOW. What’s this?
You must appeal your claim in writing with tracking to the insurance in the back of your card BEFORE JULY 10th 2023!
Read 5 tweets
Dr Murphy WeightLoss Profile picture
May 20
How insurance policies Break the law in 7 tweets, by Dr Murphy. Step one: FFCRA mandates COVID-19 testing be paid for. One type of covid test is called 0202U a cpt code for a biofire covid test. FDA approved even.
Step 2. Given the chaos of the pandemic, CARES Act allowed delayed billing and requires insurers to suspend denials for timely filing. The wording is 60 days past the end of the national Health emergency. Which ended May 11th 2023. So last day to file claims is July 10th 2023.
Step 3. Insurers put on their websites they will follow the DOL guidelines. In case you can’t read it. It says yes we follow the law. ImageImage
Read 9 tweets
Dr Murphy WeightLoss Profile picture
Dec 8, 2022
So @Aetna has decided to tell all their staff that they will not pay for #COVID19 testing for asymptomatic people or for people who aren’t certain they had COVID19 contact. twitter.com/i/web/status/1… Image
Despite clear guidance from @USDOL FAQ 44 Q1 can insurers use medical screening (medical management) to deny claims on covid 19 tests to asymptomatic with no contact? @USDOL ANSWER: NO. So why aren’t they doing anything? #regulatorycapture
Simple answer FFCRA prohibits plans and issuers from imposing medical management INCLUDING SCREENING CRITERIA! twitter.com/i/web/status/1… Image
Read 4 tweets
Dr Murphy WeightLoss Profile picture
Dec 7, 2022
tiktok.com/t/ZTR4t6doT/ Watch this. The government and insurance CEOs conveniently forgot the law demands they pay for multiplex panels that test COVID19. What’s most despicable is that elderly and underserved low SES need fair the worst with these diseases. Medicaid & Medicare
Have refused to cover these tests despite the law crystal clearly preventing coverage decisions OTHER THAN THE FFCRA LAW. tiktok.com/t/ZTR4tacuY/
These tests work, providers know it, labs know it. Heck insurers know it. BUT THOSE WHO PAY FOR TESTS DONT WANT TO PAY. So they first violate law by refusing to pay for approved multiplex tests, using coverage determinations AKA prior auth and medical management. This is Medicaid Image
Read 9 tweets
Dr Murphy WeightLoss Profile picture
Dec 6, 2022
CDC: You must rule out other viruses including #influenza #RSV during pandemic when testing #COVID19 OIG: if you do that, U should be investigated for fraud and abuse. 😵‍💫😵‍💫😵‍💫 @BioFireDX & @QIAGEN are the best #covidtests for patients who feel sick. FULL STOP. Despite JDs advice ImageImageImage
cdc.gov/flu/profession… GEEZ WHY CAN’T WE FIND COVID TESTING ANYWHERE??? Despite best medical practice, OIG wants to investigate you for doing what’s right for the patient, then the lawyers will decide. Who will offer tests with that Damocletian risk.
To be clear there is zero need to do allergy skin testing OR PGX pharmacogenomic tests when evaluating for COVID testing. Lumping the first FDA approved #COVID19 test with these shows how bad lawyers are at understanding medical care. Yet all too willing to attack good docs/labs ImageImageImage
Read 15 tweets
Dr Murphy WeightLoss Profile picture
Jun 21, 2022
@alexmeshkin Ok, @alexmeshkin I don’t have a small sample size. I’ve been testing this since April 2020. Nearly, nearly 100% of people I have a pre & post on have significant drops. Including several pro athletes. This is not uncommon. There will be an epidemic of hypogonadism. Politics aside
@alexmeshkin It’s funny. Insurers refused to pay for this bloodwork & @Labcorp sent patients to collections for it! They charge 100 bucks for this test, at my lab it’s 30 bucks. Fools.
@alexmeshkin @Labcorp pubmed.ncbi.nlm.nih.gov/34402155/ To those who wanted articles. This is a nice start. In State of CT I was “investigated” for ordering this & other labs. When? In April of 2020. Why? Because I know science & the NP initial reviewer did not. Nor did the analyst who said…
Read 7 tweets

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