De facto denial
id:
de-facto-denial-259-2267210
title:
De facto denial
text:
De facto denial or functional denial is a situation that can occur in health insurance and workers' compensation insurance when a claim is not denied outright, but in practical terms it is not covered. If cost reduction by an insurer is the reason for de facto denials as part of utilization management, it can lead to healthcare rationing through denials of care or coverage, delays in care, and unexpected financial risks to patients.
brand slug:
wiki
category slug:
encyclopedia
description:
original url:
https://en.wikipedia.org/wiki/De_facto_denial
date created:
date modified:
2024-03-28T13:21:07Z
main entity:
{"identifier":"Q85755970","url":"https://www.wikidata.org/entity/Q85755970"}
image:
fields total:
13
integrity:
13