this post was submitted on 01 Sep 2024
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"... The “dirty secret” of the insurance industry is that most denials can be successfully appealed..."

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[–] SomeoneSomewhere@lemmy.nz 57 points 2 weeks ago (12 children)

Interesting idea, but I imagine it suffers from similar issues to writing legal opinions: by signing your name to it, you're swearing that it's all true. Given AI's propensity for making things up, you need to check everything.

I wouldn't be surprised if 'knowingly filing a false appeal' is a reason to boot you off the plan in the first place.

[–] kalkulat@lemmy.world 2 points 2 weeks ago* (last edited 2 weeks ago)

by signing your name to it, you’re swearing that it’s all true.

Lawyers too use qualifiers like 'To the best of our knowledge' and 'in our studied opinion' to indicate that opinions may differ. That's why judges exist, and some of them are -so reasonable- that they will accept that people cannot be expected to decide whether a hospital's decision to operate -immediately- is not good enough.

These US 'insurance' companies are in the business of making money from people's health problems. In MOST OF THE CIVILIZED WORLD that's not how health-care works. We, the people of the US, let the system get rigged this way ... we have to fix that. Permanently.

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