{"id":5471,"date":"2024-08-30T13:21:35","date_gmt":"2024-08-30T13:21:35","guid":{"rendered":"https:\/\/www.novonon.com\/blog\/?p=5471"},"modified":"2024-08-30T13:21:35","modified_gmt":"2024-08-30T13:21:35","slug":"health-insurance-claim-denial-appeal-this-ai-website-can-help","status":"publish","type":"post","link":"https:\/\/www.novonon.com\/blog\/2024\/08\/30\/health-insurance-claim-denial-appeal-this-ai-website-can-help\/","title":{"rendered":"Health insurance claim denial appeal: This AI website can help"},"content":{"rendered":"<p>Presumably over time this&#8217;ll lead to a different equilibrium where either fewer appeals are approved, or the number of required hoops will increase. But seems really useful for now.<\/p>\n<blockquote><p>&#8230;most denials can be successfully appealed. However, most people don\u2019t appeal denied claims, with a <a href=\"https:\/\/www.kff.org\/private-insurance\/issue-brief\/claims-denials-and-appeals-in-aca-marketplace-plans\/\" target=\"_blank\" rel=\"noopener noreferrer\">study<\/a> showing that Affordable Care Act patients only appeal about 0.1% of denials. Second, anybody, not just doctors, can file a claim with their insurer. You could do it yourself, just like Karau did.<\/p>\n<p>She actually started helping friends with appeals and then wondered whether she could automate the process. The result is the <em>Fight Health Insurance<\/em> website. Karau spent a year developing the open-source AI platform before making it available to the general public in the US. The engineer spent about $10,000 to create the service.<\/p><\/blockquote>\n<p><em><a href=\"https:\/\/bgr.com\/tech\/this-free-site-uses-ai-to-help-you-fight-health-insurance-claim-denials\/\">Health insurance claim denial appeal: This AI website can help<\/a><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Presumably over time this&#8217;ll lead to a different equilibrium where either fewer appeals are approved, or the number of required hoops will increase. But seems really useful for now. &#8230;most denials can be successfully appealed. However, most people don\u2019t appeal denied claims, with a study showing that Affordable Care Act patients only appeal about 0.1% [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2}},"categories":[1],"tags":[],"class_list":["post-5471","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p3pfIY-1qf","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/www.novonon.com\/blog\/wp-json\/wp\/v2\/posts\/5471","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.novonon.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.novonon.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.novonon.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.novonon.com\/blog\/wp-json\/wp\/v2\/comments?post=5471"}],"version-history":[{"count":1,"href":"https:\/\/www.novonon.com\/blog\/wp-json\/wp\/v2\/posts\/5471\/revisions"}],"predecessor-version":[{"id":5472,"href":"https:\/\/www.novonon.com\/blog\/wp-json\/wp\/v2\/posts\/5471\/revisions\/5472"}],"wp:attachment":[{"href":"https:\/\/www.novonon.com\/blog\/wp-json\/wp\/v2\/media?parent=5471"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.novonon.com\/blog\/wp-json\/wp\/v2\/categories?post=5471"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.novonon.com\/blog\/wp-json\/wp\/v2\/tags?post=5471"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}