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Win my out-of-network surgery approval with an AI-built appeal

After UnitedHealthcare denied coverage for his out-of-network spinal surgeon, Donald Grant used Claimable's AI appeal service to build an 11-page legal and medical appeal, which he emailed to the insurer's CEO, officials and reporters. UnitedHealthcare approved both the surgeon and the procedure at the in-network rate ahead of his October 14 surgery.

How it works

  1. Complete Claimable questionnaire about condition and personal story
  2. AI synthesises records with scientific evidence, legal precedent and policy terms
  3. Generate 11-page appeal citing federal urgent-care claim rules
  4. Patient emails appeal to insurer CEO, executives, state officials and reporters
  5. Insurer approves surgeon and procedure at in-network rate

Why it’s worth knowing

An AI-built appeal citing ERISA case law got a denied spinal surgery approved at in-network rates.

Where it’s from

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

Upgraded prompt

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