Big Insurance Uses AI to Quickly Deny Claims, One Man Fights Back with AI App That Quickly Appeals
By Andy Corbley – Aug 5, 2025
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The idea that American health insurance companies are using AI to analyze and adjudicate claims for approval or denial sounds terrifying, but one North Carolinian is using AI to fight back.
When Raleigh resident Neal Shah had a claim denied for his wife’s chemotherapy drugs, he thought it was rare, that he was the only one, that it was just bad luck.
Litigating his case on phone calls that lasted for hours changed the husband and father, and he set about creating a sophisticated app that uses artificial intelligence to compare claims denial forms against health insurance contracts, before automatically drafting an appeal letter.
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they’ve built Counterforce to the point where it boasts a 70% success rate in appealing claims.
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https://www.counterforcehealth.org/
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I like the “fight fire with fire” approach.
Completely free? Astonishing. Wish I had a claim to arbitrate!
(Surprised that Big Insurance hasn’t bought them out or engaged in “lawfare” against them.)
To me, “health” and “healthcare” is not just about “the care you get or don’t get for your health”, but also all the “systems” adjacent to it.
Wonder if this will inspire other efforts to enlist AI against other “insurance” abuses (i.e., raising premiums; denial of coverage; use alf drones and AI against ordinary folks; credit card appeals)?
One could apply the concept to all sorts of adversarial interactions like “eminent domain”, intrusive Gooferment actions like regulations, or “cash confiscations”.
What a great time to be a programmer with today’s opportunities.
How about AI to lobby politicians and bureaucrats to “do the right thing”?
Any other uses? Leave a comment.
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