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Insurers Denying Nearly Half of COVID-19 Claims: Texas Report



The total number of injuries reported to the Texas Department of Workers & # 39; Compensation in 2020 was 24% higher than in 2019 and as of February 14, insurers reported 44, 873 COVID-19 injuries and 200 related deaths.

Of the allegations, 52% came from first responders and detectives and 16% came from health care professionals, according to a report compiled from 74 insurers issued on Thursday.

Overall, insurers disputed 49% of COVID-19 positive test claims. Of the 10,985 denials of COVID-19 claims with positive tests or diagnoses, only 45 were filed with the department on February 14, according to the report.

For COVID-19 claims, claims or reimbursement costs over medical expenses increased by $ 21

.2 million compared to $ 13.4 million. Of the medical expenses paid, insurers covered $ 11.1 million in hospital / facility services, 90% of which were in inpatient care, $ 2.2 million in professional services, of which 65% were for evaluation and management services and $ 104,910 in pharmacy services, 46% of which covered by respiratory medicine.

More insurance and work compensation news about the coronavirus crisis here . Catalog

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