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Using AI Tools to Appeal Denied Health Insurance ClaimsIf your health insurance claim has been denied, there are now AI tools that can help you quickly and effectively create an appeal. These tools use artificial intelligence to understand your denial, generate strong appeal letters, and in some cases even follow up with your insurer.How to Get Started1. Gather your documents: denial letter, insurance policy, and medical records.2. Choose an AI tool (see comparison below).3. Upload documents and let the AI generate an appeal letter.4. Submit the appeal by mail, fax, or through the tool itself.5. Follow up with your insurer as needed.Comparison of AI Tools for AppealsToolCostWho it’s forAppeal DraftsSubmission MethodNotable FeaturesFight Health InsuranceFreePatients / DIYMultiple drafts to choose and editManual download/faxOpen-source, easy to useCounterforce HealthFreePatients / Small clinicsSingle tailored draftManual or assisted follow-upIncludes AI phone agentClaimable$39–40ConsumersProfessionally written draftSubmitted on your behalfAdds citations, contacts regulatorsWaystar (AltitudeCreate)Enterprise pricingHospitals/clinicsIntegrated with billing systemsAutomatedEnterprise-grade integrationTips for a Successful Appeal• Read your denial letter carefully to understand the reason for denial (e.g., lack of medical necessity, coding error).• Include supporting documentation like referral notes, test results, or letters from providers.• If the internal appeal fails, you may have the right to an external review through your state or federal agency.• You can request your insurer’s internal claim file for more insight into why the claim was denied.Key Definitions• TAT (Turnaround Time): The time it takes your insurer to process and respond to an appeal. Expedited requests can be handled in 72 hours, while standard ones may take 15–60 days.Recommended First StepIf you're new to this, try visiting FightHealthInsurance.com. It's a free site that allows you to upload your denial letter and generate an appeal letter in minutes. You can then print, mail, or fax it yourself. If you're looking for additional support, Counterforce Health offers a similar service with added phone-call follow-up.
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For myself, I would be very careful playing around with any A.I. or even giving it my information. Geaton, you are way more techy than I am. I am podcast-y. And I have to tell you the Apple Podcase "Flesh and Code" has scared the poop out of me, with seniors and everyone else making their own personal companion, and its moving into being also a not-plastic-sex doll. And the A.I.s themselves learning....learning to come on to those who are NOT wanting the companion for sex.

Everyone do listen. Just saying, while I would love the help, I really don't want those bots on my computer. I am having enough trouble as it is, and pleading age on that one.

And Geaton, I notice you kind of "pushing" a lot of A.I. here of late? I am just saying I think a lot of us aren't tech-savvy enough to safely handle a lot of tech stuff out there. I KNOW I am not. I suspect others aren't either. And I worry. We are so ahead of ourselves in our tech powers. I truly worry that people playing with all this tech stuff can endanger themselves.

You are such a trusted and loved member here. Be careful for us.
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I don't think this is a self-promotion... HaveYourBack is a frequent participant on this forum and even has a Profile filled out.

I appreciate the information in this post, I think it is useful.
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