Hahaha!

Milwaukee, WI -- For years, health insurance companies have relied on a wide variety of options for denying claims, including lack of preapproval; a preexisting condition; or minor clerical errors, such as incomplete dates. Now, Green Cross of Wisconsin has announced an entirely new category for claims denials: "just because."

According to Green Cross CEO Dick Browne, the company took a "rational look at the business model" and singled out denials as a huge cost sink: "I think we all long assumed that we could just stamp 'denied' on a claim and it would go away. But a top-to-bottom review of our operations revealed that we were incurring huge costs dealing with angry patients and doctors. Worst of all, giving a reason for denying a claim was simply providing patients with ammunition to argue with us; appeals were hurting our bottom line."

The beauty of "just because," according to Browne, is that it stops the appeal process dead in its tracks. And downsizing the appeals department could save Green Cross millions, according to an independent audit by KPMG.

Green Cross says it wants to stay in the forefront of insurance innovation. "Paying out on claims is the soft underbelly of the insurance industry," says Browne. "It is a liquidity drain that markedly affects shareholder value. We need to continue to examine new avenues for denying claims."

Thanks for the laugh, Jessica.  I KNEW they were sneaky... now there's proof!  Haha