Damus
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In the US, insurance company’s use AI to deny claims in just 1.2 seconds. No exaggeration. Cigna built an algorithm that reviewed and rejected 300,000 claims in 2 months. Each in an average of 1.2 seconds of “review.” That same system gets overturned on appeal 80% of the time. But the insurance company knows that less than 0.2% of people ever appeal. Not 20%. Not 2% but point 2% They’re not rejecting your claim because it’s wrong. They’re rejecting it because statistically, you’ll give up.
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sanpan · 1w
nostr:nprofile1qy2hwumn8ghj7un9d3shjtnyd968gmewwp6kyqpqq8dzf4dwd95jdlm5trcuf036u4htqsgcveuzdzcdf9m585z02whqe0exag The same LLM probably takes 2 seconds to write an appeal and as soon as people figure it out this is going to be another case of „Claude please turn these bullet points into a mail…C...
Col · 1w
Appeal using AI against AI. Open your favorite AI chatbot and paste this: I received a health insurance denial letter. I’m going to paste it below. Please identify the stated reason for denial, find any contradictions with standard coverage policies and write a formal appeal letter citing my plan...