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Companies use AI to fight insurance denials
People infrequently challenge health insurance denials even though appeals are often successful. A new batch of startups, like Claimable and FightHealthInsurance.com, is trying to change that, STAT’s Casey Ross reports. These companies use artificial intelligence and other technology to help to analyze coverage requirements and help draft appeal letters for doctors and patients. Nine companies have raised about $36 million from investors in recent years, according to Rock Health.
For years, insurance companies have increased their use of algorithms and predictive software in the process of making coverage decisions, often leading to higher rates of denials. The advent of companies to fight denials could be the harbinger of an AI arms race in which two sides use imperfect and ever-changing technology to fight each other. Read more here
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