What if patients could use AI to successfully challenge insurance denials and regain access to the care they need?
In this episode, Zach Veigulis, Co-Founder & Chief AI Officer at Claimable Inc., discusses how his company uses AI to help patients appeal denied medical insurance claims and regain access to care. Drawing on his experience as the former chief data scientist at the U.S. Department of Veterans Affairs innovation center, Veigulis explains that while billions of medical claims are processed each year, a significant portion are denied and almost none are appealed. Claimable addresses this gap by enabling patients and healthcare organizations to quickly generate evidence-based appeal letters that incorporate medical history, clinical guidelines, and legal protections, achieving about an 80% success rate in some conditions. By empowering patients to exercise their legal right to appeal and involving employers or regulators when appropriate, the platform aims to reduce care abandonment, improve access to treatment, and alleviate administrative burdens on physicians.
Tune in to hear how Claimable is empowering patients, reducing physicians' administrative burden, and helping more people get the treatment they deserve!
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