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The AI built my insurance appeal package and my doctor used its letter

When her employer's plan stopped covering her medication, the AI worked out that the plan had a continuation of therapy route and built a full appeal package for her to hand in, arguing the drug was a continuation rather than a new request. She filed it, and her doctor used the letter template it wrote.

This only partly worked. Read what happened before you try it.

How it works

  1. It researches the plan rules
  2. Finds the continuation of therapy argument
  3. Builds the full appeal package
  4. She files it
  5. Her doctor uses the letter template

Why it’s worth knowing

The winning argument was a plan rule she did not know existed, that her refill counted as continuation, not a new request.

Where it’s from

Summarized from a public post on reddit.com. See the original ↗

Upgraded prompt

A ready-to-use prompt for this idea, built from research on what makes AI agents do the job right: who the AI should be, the exact steps, and a check to make sure it was done the way you wanted.

1Who the AI should be
2The prompt, with the steps
3The check when it’s done
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