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

They use a term – they use terms like not medically necessary or medical necessity.

That sounds like a official clinical term.

Yeah.

But actually that term has no clinical value whatsoever.

That's not something that you learn in med school, right?

Like that is a scary thing that is presented by insurance companies to try to get out of paying care.

And one thing that I will say is –

There's the profit protection piece, right, which is clearly it's cheaper to – or we protect profits if we don't have to pay claims.

But there's also this idea of outdated policies as well.

So when you go to a doctor, your doctor, you expect them to stay up to date on the newest and greatest care that's out there, right?

You want to get the best outcome.

Insurance companies aren't always staying up to date and for a reason, right?

So their policies, they might be looking at this through – could be decades old in some cases.

So not medically necessary could be, hey, we don't want to pay the claim.

It could also be our policy says that you don't meet criteria for this thing that you're trying to access, such as a service like an MRI or a medication.

But ultimately, there's been new practice guidelines that have been adopted since then that say this is actually the best thing for you.

And the clinical autonomy that your physician has, being the expert, knows what's best for you.

Yes.

That is still a thing.

So when a patient appeals, this cannot be adjudicated with AI, right?

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