Forbes December 11, 2024
Amy Feldman

Health insurers use AI to approve or deny claims. Now patients are getting access to AI-driven tools to fight back.

UnitedHealthcare, which has been thrust into the spotlight after the killing of its CEO Brian Thompson, has one of the highest rates of claims denials, in some cases using AI to deny patients care.

But entrepreneurs are now using AI to fight back against these claims denials. Holden Karau, a San Francisco Bay-area software engineer, recently built a free tool called FightHealthInsurance.com that uses AI to appeal denials. You give it some basic information about your denial, your insurance plan and your health history, and the tool asks some additional questions, then offers three different pre-written appeals to choose from.

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Topics: AI (Artificial Intelligence), Insurance, Payer, Technology
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