HEALTHCARE: AI App That Quickly Appeals Denials

Wednesday, August 13, 2025

https://www.goodnewsnetwork.org/big-insurance-uses-ai-to-quickly-deny-claims-physican-fights-back-with-ai-app-that-quickly-appeals/?utm_source=newsletter.goodnewsnetwork.org&utm_medium=newsletter&utm_campaign=your-5-min-dose-of-good-news-ducks-take-over-town-center&_bhlid=9ae55e2f638cb4ac2fda40c6fc7c6f7bac698b74

Big Insurance Uses AI to Quickly Deny Claims, One Man Fights Back with AI App That Quickly Appeals
By Andy Corbley – Aug 5, 2025 

*** begin quote ***

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.

*** and ***

they’ve built Counterforce to the point where it boasts a 70% success rate in appealing claims.

*** end quote ***

https://www.counterforcehealth.org/

# – # – # – # – # 

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.

— 30 —

Leave a Comment » | Healthcare | Tagged: , , , | Permalink
Posted by reinkefj

RANT: Funny how DOJ selects targets for its “rage”?

Saturday, September 28, 2024
Biden’s Gestapo DOJ Sues Alabama for Removing Noncitizens on the Voter Rolls

*** begin quote ***

The Biden Administration’s Department of Justice (DOJ) has launched yet another blatant attack on state sovereignty and election integrity, this time setting its sights on Alabama.

In an outrageous move, the DOJ has filed a lawsuit against Alabama for daring to clean up its voter rolls by removing illegal noncitizens from the system ahead of the upcoming general election.

This lawsuit, spearheaded by Biden’s weaponized DOJ, accuses the state of violating the National Voter Registration Act of 1993 (NVRA), citing so-called “Quiet Period” provisions meant to prevent last-minute adjustments to voter registration lists.

*** end quote ***

Jumped right on anything that removes illegal voters!

Interesting how they chose their targets.

Like the prosecution of NYC Mayor Adams, when he complained about the illegals getting dumped in his city.

Argh!

—30—

Leave a Comment » | Ranting | Tagged: | Permalink
Posted by reinkefj

POLITICAL: Seems like religious discrimination to me?

Friday, April 26, 2024

https://thenationalpulse.com/2024/04/15/judge-blocks-orthodox-jews-who-overwhelmingly-back-trump-from-trial-jury/

Judge Blocks Orthodox Jews, Who Overwhelmingly Back Trump, from Trial Jury.
Ed Kozak  — April 15, 2024

*** begin quote ***

“Orthodox Jews to be excluded from [Manhattan District Attorney Alvin] Bragg’s jury pool. The NYC demographic group most strongly supportive of Trump is the orthodox Jewish community,” Schneider posted on X. “So, no surprise that the very biased judge in Bragg’s case scheduled the trial to include Fridays instead of Wednesdays. Very unusual, but understandable since this switch will necessarily exclude all orthodox Jews from the jury pool. Democrat operatives are very clever.”

*** end quote ***

I’m not lawyer.  (Thank God!)  But this seems to be blatant religious discrimination.  I would think that the Orthodox Jewish community would object.  I would.  And, it seems like automatic grounds for appeal.  (Maybe DJT’s lawyers are already drafting the appeal.)

Argh!

—30—

Leave a Comment » | Political | Tagged: , , , | Permalink
Posted by reinkefj

POLITICAL: Seems like religious discrimination to me?

Friday, April 26, 2024

https://thenationalpulse.com/2024/04/15/judge-blocks-orthodox-jews-who-overwhelmingly-back-trump-from-trial-jury/

Judge Blocks Orthodox Jews, Who Overwhelmingly Back Trump, from Trial Jury
Ed Kozak  — April 15, 2024

*** begin quote ***

“Orthodox Jews to be excluded from [Manhattan District Attorney Alvin] Bragg’s jury pool. The NYC demographic group most strongly supportive of Trump is the orthodox Jewish community,” Schneider posted on X. “So, no surprise that the very biased judge in Bragg’s case scheduled the trial to include Fridays instead of Wednesdays. Very unusual, but understandable since this switch will necessarily exclude all orthodox Jews from the jury pool. Democrat operatives are very clever.”

*** end quote ***

I’m not lawyer.  (Thank God!)  But this seems to be blatant religious discrimination.  I would think that the Orthodox Jewish community would object.  I would.  And, it seems like automatic grounds for appeal.  (Maybe DJT’s lawyers are already drafting the appeal.)

Argh!

—30—

Leave a Comment » | Political | Tagged: , , , | Permalink
Posted by reinkefj

INSPIRATIONAL: Is DJT the “Gray Champion” of the The Fourth Turning?

Thursday, April 25, 2024

https://sashastone.substack.com/p/the-lawfare-made-me-a-trump-supporter

The Lawfare made me a Trump supporter

  • The Grifters are red-pilling Americans by the day…

Sasha Stone Apr 13, 2024

*** begin quote ***

Gray Champions aren’t born. They are made.

Neil Howe was asked back in 2016 if he thought Trump was the Gray Champion of his book The Fourth Turning.

He points out that Trump is a Baby Boomer, which is usually what we’d expect from a Gray Champion, though it’s not absolute.

Here is how Neil Howe describes the Gray Champion in The Fourth Turning is Here, his follow-up to the first book:

“What are the typical attributes of the Gray Champion? Boundless self-confidence. Uncompromising principle. Contempt for the status quo. Inability to back down or give up. Yet also a simplicity of manner and a serenity of soul. And the charismatic ability to reconnect the rising generation with its cultural heritage. Oriented toward final ends, the Gray Champion can be careless about the human or material cost of attaining them.

Who else but a Gray Champion would challenge the results of a corrupt election? Who would ever have the nerve to do such a thing? Who would ever run again for office after two impeachments and four indictments? Well, a Gray Champion would.

One thing we know for sure is that it isn’t Joe Biden.

*** end quote ***

I’m not a fan of DJT but he is our last best hope to save America.

—30—

Leave a Comment » | INSPIRATIONAL | Tagged: , , , | Permalink
Posted by reinkefj

RANT: DJT is the victim of a vindictive witch hunt

Tuesday, March 26, 2024

https://www.dailymail.co.uk/news/article-13219965/trump-bond-james-new-york-fraud-josh-hammer.html

Nothing’s better for Republican unity than Democratic lunacy! Biden and the Left are salivating at the chance of bankrupting Trump, but JOSH HAMMER reveals why the $454M ruling against Donald will end up costing THEM dearly

By Josh Hammer For Dailymail.Com
Published: 08:48 EDT, 21 March 2024 | Updated: 10:08 EDT, 21 March 2024 

*** begin quote ***

In New York, there’s no bail for murderous thugs who roam the streets of the Big Apple.

Yet a Republican presidential candidate, leading in the polls against Uncle Joe, gets no such mercy.

Folks in the Bronx, Brooklyn, and other crime-ravaged NYC neighborhoods would love to see that reversed.

No one can earnestly look at what’s been done to Trump and see anything other than a vindictive witch hunt – and America is watching.

Who wants to live in a country where you’re targeted by the all-powerful state simply for holding the ‘wrong’ opinions?

Never-Trumpers and supporters of Nikki Haley have a choice this November: It’s either Trump or these vicious leftists, who’ll stop at nothing to injure their political opponents.

It won’t be a hard choice.

Josh Hammer is the syndicated host of ‘The Josh Hammer Show’ and senior editor-at-large at Newsweek 

*** end quote ***

Anyone, who has any sense of fair play, should be outraged at this perversion of “justice”.

Sorry from the get go this is nothing more than a modern day lynching.

Shome on “We, The Sheeple” in the Pepuls Republik of Nu Jerk for letting this happen.

—30—

Leave a Comment » | Ranting | Tagged: , , , | Permalink
Posted by reinkefj