Wednesday, July 14, 2010

Doswell Faith Healer Embroiled in Reimbursement Battle with Anthem

Doswell faith healer John Irvin is embroiled in a legal battle with health insurance giant Anthem Blue Cross regarding reimbursements for medical services performed on himself.
According to Irvin, he diagnosed himself with Clark level 3 squamous cell skin cancer in September, 2009, then healed himself of it in January after 3 months of prayer. As a self-professed medial practitioner, he dutifully submitted his own medical bills totaling $23,000 to Anthem in Richmond, only to be denied the claims.

"Anthem recognizes Christian Science Practitioners in their flex programs for reimbursement, so it stood for good reason they would also recognize faith healers as well," stated the POed Irvin, waving the denial letter in anger. "I am only seeking reimbursement for an hourly rate for 3 months of prayer, and I am only charging $10.68 per hour - I could never get treated and eventually cured of skin cancer for that amount by a standard medical doctor - but oh my, Anthem would pay that bill in a heartbeat, because the services were performed by a fancy medical doctor!"

Anthem spokeswoman Gina Barklay shrugged off the angry Doswellian's claim.. "While it is true that Christian Science practitioners and some holistic providers can be covered under certain circumstances, there is no collaborative or supporting documentation that Mr. Irvin even had cancer. He seems to have just diagnosed himself then claimed to have healed himself - now is attempting a claim that frankly we find bogus."

"You better believe I diagnosed myself!" Irvin shrieked, producing a photo of a suspicious mole that he says was taken on his right arm on September 3, 2009 (at left). "And I healed it! It's what I do! Look at my job title on my freaking policy!"
Indeed, Anthem confirmed Irvin has held a high-deductible individual health policy for 6 years, and he is listed in his occupation as "Faith Healer", throwing another wrinkle into the legal imbroglio, as now it seems that Irvin may be able to not only pay himself for his own services, but take that same money and apply it to his own ded . . . wait a minute . . .he what?

Barklay was momentarily stunned by the discovery of a policy on Irvin, and was left temporarily speechless. "Well, this is easy . . .Mr. Irvin has already met his deductible on his policy, therefore he has no more out-of-pocket costs . . . but his claim was incurred during his open enrollment, therefore his claimed treatment dates overlap into another plan year . . .I have to study this."

After a review of Irvin's policy, Ms. Barklay came back with bad news. "Mr. Irvin sustained a 37% increase in his monthly premium, beginning October 1 of last year, which he has not paid, therefore any claims on him cannot be paid until his premiums are brought up to date - not including the claims he claims to have incurred by treating himself, as they are unclaimable."

Irvin countered that why would a faith healer sustain a rate increase, if he never sought treatment outside of himself and never incurred any medical claims?

Barklay countered sarcastically that a faith healer should not even need health insurance in the first place.

Irvin stated then that he wanted to see actuarial tables of claims experience in his industry class that justified a 37% rate increase.

Newsfromdoswell gave up and left the meeting, leaving the two talking to themselves.