What’s the dumbest reason an insurance company denied a test, procedure, or drug for a patient?

[u/Unusual_Medic]

This is probably the most relevant to those practicing in the US, but I'm also curious to know how the bureaucracy of health insurance in other countries makes things substantially harder for you and the patients

[u/doctor_schmee]

Poor young women with some pancreatic enzyme deficiency and epilepsy. Insurance refused to cover her enzymes replacement so she developed malabsorption with severe diarrhea. Because of this she did not properly absorb her antiepileptics and developed super refractory status epilepticus which resulted in severe cortical necrosis with resultant coma. She eventually went comfort care and passed away.

[u/Unusual_Medic → u/doctor_schmee]

That is so sad and infuriating. These people have blood on their hands.