4 ms·
Never pay the first hospital bill if it's a non-trivial amount and you've waited a few months to get all the bills. 100% of time there is an error, mis-code, u
by siliconc0w 1y ago
Never pay the first hospital bill if it's a non-trivial amount and you've waited a few months to get all the bills. 100% of time there is an error, mis-code, up-code, outright fabrication, etc. In California you cannot be taken to collections for less than $500 and they have to wait at least 180 days. If insurance denies a claim, you can ask for an internal appeal and then ask an independent medical review(IMR) (always do this, the internal appeal never works). With today's context windows, you can shove the whole insurance coverage booklet into the LLM and have it draft everything.
I've had $10k+ bills brought down to $200. $2k+ tests re-coded and fully covered, etc.
There is definitely a business in a LLM-powered medical billing agent that could handle this end to end (esp, contacting hospitals/insurance, waiting on hold, etc).