Health care insurance has become a game, one that hurts small practices waiting months to get paid. The services billed by physicians, most practices too small to have any recourse, go unpaid so that corporate insurance companies can keep invested monies paid for health insurance by consumers, paying the companies more each day payment is withheld. The account representatives at these companies get paid a bonus for whatever bills for services they reject, and so are encouraged to reject as many as they possibly can. As one of these employees said, "We like the hand-entered bills, as there's always some box or other not filled and we reject it." The coding accepted for mental health billing has been changing daily, according to provider representatives, and this has boosted rejections



