Brightrock use technical language to decline claims - failure to meet their contractual obligations

I submitted 2 claims to Brightrock for Coronary Artery Disease , one claim was paid under the Additional Expense claim benefit at 10% and not 25% as per their clinical definition and recommendation by SCIDEP.

They have refuted my claim because according to Brightrock upon admission I presented a sinus rhythm, No ST changes because there were No ECG changes.They cited that the Trop T/I remained well below the lower limits of the SCIDEP values prior to the stenting procedure.

This simply means that the hospital was not supposed to rush me to theatre for hemodynamic instability and ongoing chest pain as emediate reperfusion to save my life.

Biomarkers was positive as expected in NStemi - ACS. Interpretation of the clinical significance of elevated hsTopT requires care as the levels tend double every 6 hours.

I had certainly met the American and European guidelines for the NSTEMI presentation: Symptoms Positive cardiac enzymes ECG - will sometimes show ST/T wave abnormalities or it may be normal

This according to the guidelines is classified as an acute coronary syndrome.

There is No such thing as a mild heart attack as defined by Brightrock…this is clearly an excuse to refuse/ decline or not fulfill claims

Based on the three categories of acute coronary syndrome I presented an NSTEMI, still on treatment and undergoing cardiac rehabilitation with special arrangements from my employer to still earn a salary.

Brightrock will present technical terms to confuse claimants with medically incorrect statements used including interpretation of their own policies.

Patient care or customer care is clearly not their priority, they do not respond to email or simply ignore you …