Aetna Medical Director Admits He Never looks At Patient Medical Records Before Denying Coverage

Greg Boles
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A former medical director for Aetna Insurance Company admitted under oath that "he never looked at patients' records when deciding whether to approve or deny care."  The stunning admission came in the midst of a deposition taken in a lawsuit filed by a college student who suffers a rare immune disorder and needed Aetna to pre-authorize an expensive infusion.  The medical director, who signed the pre-authorization denial,  admitted that he knew next to nothing about the disorder and testified that he never looked at any medical records in his entire career in connection with any review of medical treatment made by Aetna.  The California Insurance Commissioner is launching an investigation.

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