Jessica Mendoza

Was there any concern that, you know, your dad was going to run out of time?

Ed's medical team disagreed with Anthem's denial because the doctors were looking at emerging research that said a transplant could work. So they appealed. And as part of that process, they submitted additional information to the insurance company. I asked Julie about how that appeals process works.

Ed's medical team disagreed with Anthem's denial because the doctors were looking at emerging research that said a transplant could work. So they appealed. And as part of that process, they submitted additional information to the insurance company. I asked Julie about how that appeals process works.

Ed's medical team disagreed with Anthem's denial because the doctors were looking at emerging research that said a transplant could work. So they appealed. And as part of that process, they submitted additional information to the insurance company. I asked Julie about how that appeals process works.

Ultimately, Ed's medical team filed several rounds of appeals to Anthem. The information they submitted included those recent studies showing people like Ed did well after a transplant. In mid-June, Ed got the final decision. This time, it was from that third-party organization that Anthem had selected to review his case. It was yet another no. We asked Anthem about that final denial.

Ultimately, Ed's medical team filed several rounds of appeals to Anthem. The information they submitted included those recent studies showing people like Ed did well after a transplant. In mid-June, Ed got the final decision. This time, it was from that third-party organization that Anthem had selected to review his case. It was yet another no. We asked Anthem about that final denial.

Ultimately, Ed's medical team filed several rounds of appeals to Anthem. The information they submitted included those recent studies showing people like Ed did well after a transplant. In mid-June, Ed got the final decision. This time, it was from that third-party organization that Anthem had selected to review his case. It was yet another no. We asked Anthem about that final denial.

It said that the rejection was the third-party reviewer's decision. And Anthem said that for people with Ed's diagnosis, quote, the clinical evidence available at that time did not support liver transplants. But that final coverage denial only made Erin fight harder to find another way. I was throwing every Hail Mary. What she did? That's after the break.

It said that the rejection was the third-party reviewer's decision. And Anthem said that for people with Ed's diagnosis, quote, the clinical evidence available at that time did not support liver transplants. But that final coverage denial only made Erin fight harder to find another way. I was throwing every Hail Mary. What she did? That's after the break.

It said that the rejection was the third-party reviewer's decision. And Anthem said that for people with Ed's diagnosis, quote, the clinical evidence available at that time did not support liver transplants. But that final coverage denial only made Erin fight harder to find another way. I was throwing every Hail Mary. What she did? That's after the break.

Erin Stratton wanted to understand why the insurance company kept denying her dad's treatment. She dug into the studies her father's doctors were citing and also looked at how Anthem justified its denial. In the company's last two rejection letters, it said, quote, medical studies do not show that this surgery will improve your short or long-term health.

Erin Stratton wanted to understand why the insurance company kept denying her dad's treatment. She dug into the studies her father's doctors were citing and also looked at how Anthem justified its denial. In the company's last two rejection letters, it said, quote, medical studies do not show that this surgery will improve your short or long-term health.

Erin Stratton wanted to understand why the insurance company kept denying her dad's treatment. She dug into the studies her father's doctors were citing and also looked at how Anthem justified its denial. In the company's last two rejection letters, it said, quote, medical studies do not show that this surgery will improve your short or long-term health.

Erin also learned more about the doctors who had reviewed her dad's case.

Erin also learned more about the doctors who had reviewed her dad's case.

Erin also learned more about the doctors who had reviewed her dad's case.

Anthem pointed out that while its second-round reviewer was a family medicine doctor, the company's initial reviewer was an oncologist. Here's our colleague, Julie, again.

Anthem pointed out that while its second-round reviewer was a family medicine doctor, the company's initial reviewer was an oncologist. Here's our colleague, Julie, again.

Anthem pointed out that while its second-round reviewer was a family medicine doctor, the company's initial reviewer was an oncologist. Here's our colleague, Julie, again.

In the process of appealing, is there any way to know, like, who or what kind of doctor reviewed your claim? Do a lot of people know who denied their claim?