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  • Lindsay Brazil posted an update in the group Group logo of EquineEquine 4 years, 2 months ago

    has anyone had any problems with gastric ulcers claims ? we have had an insurance co decide the claim is closed as complete resolution noted on re scope – despite having months of time left on claim and being nowhere near vets fees limit. and another where vet Rec ongoing Tx as grade 1 ulcers noted but still symptomatic – but ins co have clause in t’s and c’s saying only ulcers of grade 2 and above are covered. so we are now being very careful how we word clinical notes.

    • Not yet, but thanks for the warning. As you say, clinical notes need to be very carefully worded if this is the case.

    • hi Lindsay, only just catching up with messages as my app has been misbehaving. we’ve definitely started having problems with insurance companies – I now always warn owners before any score that if only grade 1 ulcers found they won’t be covered. we’ve also found where an ulcer claim is open and still has time / money left they will not pay for prophylactic treatment e.g Horse diagnosed with ulcers, treated successfully but then quickly having box rested for long time due to orthopaedic issues,