Notice how all of the things that you found represent a single department in the provincial government instead of a significant part of national GDP spread across multiple billion dollar conglomerates.
The first link you submitted is actually showing how the automated system processes the huge majority of claims automatically without people in the loop. So not a good argument that BC has phone banks of people answering claims questions.
Yes the claim process exists, and the various appeals parts exist, but that part of MSP is just not the patient's problem. If you read through the reasons for denial that you linked, almost all of them are requests for better paperwork or missing information. The level of administrative overhead just doesn't exist on the scale that I have experienced living in the states.
What I have never had happen, or heard of happening, is a resident getting a bill for seeking medical care (which would happen if a claim was rejected). Or someone not receiving medical care due to inability to pay. Or having to doctor shop for a place that accepts their insurance. In fact, most people I know have never even had to contact MSP.
The first link you submitted is actually showing how the automated system processes the huge majority of claims automatically without people in the loop. So not a good argument that BC has phone banks of people answering claims questions.
Yes the claim process exists, and the various appeals parts exist, but that part of MSP is just not the patient's problem. If you read through the reasons for denial that you linked, almost all of them are requests for better paperwork or missing information. The level of administrative overhead just doesn't exist on the scale that I have experienced living in the states.
What I have never had happen, or heard of happening, is a resident getting a bill for seeking medical care (which would happen if a claim was rejected). Or someone not receiving medical care due to inability to pay. Or having to doctor shop for a place that accepts their insurance. In fact, most people I know have never even had to contact MSP.