![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png){kind=small}
A tech worker in San Francisco needed surgery after an accident and faced a spate of claim denials, so she fought back, appealing all of them. And over 90% of the roughly 40 denials were approved on reconsideration. She even got a denial overturned on appeal for surgery for her pet dog!
So she started helping friends with the process.
Well, there's one thing about us programmers. When we start doing something repeatedly, we start thinking "How can we automate this and improve it?"
So she turned to large language models, commonly known as AI.
And it seems to be working pretty good!
Scan in your denial letter, and her system will generate several appeal letters for you to pick and choose from, you can also modify as you see fit.
A study showed that only about a tenth of one percent of rejected claims of participants in the ACA appeal. My doctor's office has handled this for me in the past, I've also joined in the fight a couple of times, and they've always been overturned thus far. It's definitely worth the fight, and this will make it a lot easier to do!
The actual web site is at: https://fighthealthinsurance.com/
She put a year of her time and $10,000 of her own money into this project! It's free for now, though she may charge for add-on services such as faxing an appeal directly to your insurance.
https://sfstandard.com/2024/08/23/holden-karau-fight-health-insurance-appeal-claims-denials/
https://science.slashdot.org/story/24/08/31/2131240/tech-worker-builds-free-ai-powered-tool-for-fighting-us-health-insurance-denials
So she started helping friends with the process.
Well, there's one thing about us programmers. When we start doing something repeatedly, we start thinking "How can we automate this and improve it?"
So she turned to large language models, commonly known as AI.
And it seems to be working pretty good!
Scan in your denial letter, and her system will generate several appeal letters for you to pick and choose from, you can also modify as you see fit.
A study showed that only about a tenth of one percent of rejected claims of participants in the ACA appeal. My doctor's office has handled this for me in the past, I've also joined in the fight a couple of times, and they've always been overturned thus far. It's definitely worth the fight, and this will make it a lot easier to do!
The actual web site is at: https://fighthealthinsurance.com/
She put a year of her time and $10,000 of her own money into this project! It's free for now, though she may charge for add-on services such as faxing an appeal directly to your insurance.
https://sfstandard.com/2024/08/23/holden-karau-fight-health-insurance-appeal-claims-denials/
https://science.slashdot.org/story/24/08/31/2131240/tech-worker-builds-free-ai-powered-tool-for-fighting-us-health-insurance-denials
