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In most of these cases it's the delay in approval for some kind of continued care (nursing facility, home nurse visits etc.) which the patient needs that's delaying the hospital discharge. I think if you're good to walk out, you probably can. Even if the doctor hasn't cleared it, there's a form you can sign that basically says you're taking your legal right to leave.
Yeah I've left against medical advice a couple times. I was just curious about the insurance ramifications. Thanks for the info.