philip lelyveld The world of entertainment technology

18Jul/25Off

AI is helping patients fight insurance company denials

PhilNote: 1) this could be a precursor of the jobs of the future, and 2) the grammatical error ("...using they system they ...) demonstrates the importance of human oversight and not trusting AI too much.

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With his wife in agony, Jason Nixdorf had a chance encounter with Zach Veigulis, a former chief data scientist at the Department of Veterans Affairs who was co-founding a company to help patients battle insurance company denials. That company, Claimable Inc., built an AI platform that allows patients to generate customized appeal letters containing comprehensive assessments of clinical research on a drug or treatment and other patients’ appeals history with it. The cost: around $40.

When Nixdorf reached out, Claimable’s site was not yet live, but its chief executive and co-founder, Dr. Warris Bokhari, offered to help write an appeal letter for Stephanie using they system they had developed. ...

In mid-September 2024, she sent that 23-page appeal letter to Premera’s chief executive and chief legal counsel, arguing that one of its own policies states it should cover infliximab, her records show. Her letter also went to the governor and attorney general of North Carolina, officials at the Department of Health and Human Services, the Consumer Financial Protection Bureau and the Wage and Hour Division of the Department of Labor. ...

See the full story here: https://www.nbcnews.com/news/us-news/ai-helping-patients-fight-insurance-company-denials-wild-rcna219008

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