Presumably over time this’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.

…most denials can be successfully appealed. However, most people don’t appeal denied claims, with a study 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.

She actually started helping friends with appeals and then wondered whether she could automate the process. The result is the Fight Health Insurance 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.

Health insurance claim denial appeal: This AI website can help