How Health Insurance Companies Turn Claim Denials Into Shareholder Returns

Health insurance denials are out of control, and insurance companies are banking on you just accepting it and paying the bill. This week, Vivian sits down with Zach Veigulis, co-founder and Chief AI Officer at Claimable, to break down the villain origin story of health insurance and exactly how to fight back when your claim gets denied.

In this episode, Vivian and Zach cover:

1. Why claims get denied in the first place, which types of claims get denied at disproportionately high rates, and why you should never just accept a denial and pay the bill.

2. The exact steps to take to appeal a denial (and how fast you need to move), the magic words to use in an appeal letter, how to tell a real coverage denial from a bogus billing error, and what "medically necessary" really means.

3. What to do if you can't afford the bill while your appeal is pending, and the nuclear options, think state insurance commissioners and patient advocates, if you're denied at every level.

Check out Claimable at https://www.getclaimable.com/.

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