Denied
Your probation as a health insurance Claims Adjuster begins now. Report to your terminal and inspect medical documents for reasons to deny coverage. Assume patient fraud. Your decisions have consequences: patients come back. Management is watching. A dystopian document thriller.
A dystopian bureaucracy simulator about denying health insurance claims
From: VitaCare+ HR Department
To: New Employee Mailing List
AUTOMATED MESSAGE TO NEW EMPLOYEES - DO NOT RESPOND
Employee #759618F, your five (5) year probation period in VitaCare+ Claims Processing has begun.
VitaCare+ is the nation's largest health insurance provider. As a new Claims Adjuster, you are our first line of defense against unnecessary medical payouts.
You must maximize shareholder value by denying claims that violate our insurance policies. Operate under the assumption of patient fraud. Do not let patients' emotional stories reduce your productivity.
Note: VitaCare+ does not cover mental health services for probationary employees.
TRAINING MANUAL - FOR INTERNAL USE ONLY
To ensure your success, you must master the VitaCare+ software. Your continued employment and financial survival depend on the following mechanics:
Document Inspection: You are required to manually drag, organize, and cross-reference digital paperwork on your screen. Compare X-rays, medical histories, and doctors' notes against the provided policy binder to find loopholes for denial.
Time Pressure: A daily timer governs your shift. Claims left unprocessed when the clock runs out are claims you don't get paid for. Your rent, your family's wellbeing, and your own VitaCare+ premiums depend on how many you clear before the day ends.
Adapt to Changing Rules: Corporate policy changes overnight. A medical procedure that was fully covered on Monday might be an immediate denial by Wednesday. You are expected to adapt your strategy to survive the week.
Handle Client Repercussions: The files on your desk are not isolated. Your verdicts have ongoing consequences. Patients will attempt to contact your terminal as their conditions worsen over the course of your probation. You will encounter branching stories and moral choices driven by your approvals and denials. Any deviation from processing targets to address patient grievances will result in immediate wage deduction.
NOTICE: VitaCare+ is not liable for changes in employee perception.
You have been granted terminal access with Class F security clearance. Performance, keystroke logging, and time-tracking metrics are now active. We expect to see you reach the targets set out by management.
HR Department
VitaCare+
Caring for your bottom line™
--- TERMINAL USAGE AGREEMENT ---
By authenticating your login, you surrender all biometric and keystroke data to VitaCare+. You agree to fully indemnify the Corporation against any wrongful death suits resulting from your processing metrics. Policy guidelines are subject to unannounced alteration; questioning these updates is grounds for immediate termination and retroactive wage clawbacks.
