Zach Veigulis

speaker

463 appearances 1 recordings 1 series first heard Jul 2026 last heard 29 Jul

Zach Veigulis’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 1 in all, peaking in Jul 2026 with 1.

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Networth and Chill with Your Rich BFF · How Health Insurance Companies Turn Claim Denials Into Shareholder Returns · 29 Jul 2026 podcast

The other thing is if there's any terms on there around not medically necessary or experimental investigational, that is an invitation to appeal.

So if you see any of those words or step therapy or formulary exception, anything like that, that's an invitation to appeal and then in which case you should go find that denial letter.

But for any type of just simple billing errors like that we're discussing today because it is rampant, most of those can be handled with the billing office at the healthcare system.

Definitely.

So about half of all claim denials are for medications and then the other half are for services.

So like MRIs, CT scans, transplants, surgical cases.

And so those that are higher costs are going to be targeted.

Higher cost is targeted more?

Higher cost is targeted more.

So if the medication costs more or if it's a surgical case, it's very expensive, it's going to be highly scrutinized and often denied.

So going back to the payer policy, I have a couple examples of this.

So we helped a woman.

Her name is Stephanie.

Stephanie came to Clamable with stage four melanoma, which is a very sad diagnosis and not that long ago.

That was pretty grim.

However, the prognosis with emergence of new types of cancer therapy is actually pretty good now.

Now, one of the side effects of these new cancer drugs is that they have weird things happen.

And so what happened to Stephanie is she developed this inflammatory arthritis and to the point where she couldn't even take the cap off the milk carton without being in excruciating pain.

So she had four different physicians that said she needs a medication called infleximab to treat this basically symptom.

Exactly.

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