Fighting a denied $300 lab claim through appeal and into external review
His insurer denied a cholesterol lab charge of about $300 as experimental. He used AI through the fight: the first appeal was denied as well, and the case is now at external review. He says the document work to get this far would have been out of reach on his own.
How it works
- Denial received
- Appeal built and sent with AI's help
- Appeal denied
- Case taken to external review
- Fight still running
Why it’s worth knowing
The amount is tiny and that is the point: insurers count on people dropping small fights, and the agent made the fight cheap enough to keep going.
Where it’s from
Summarized from a public post on reddit.com. See the original ↗