This guy’s sister was approved for the same genetic condition drug, while he was in decline and being denied. He had to go on the Today Show in order to get the attention to get life saving medicine approved by the health insurance, and then the insurance company, after being contacted by the Today Show, actually threatened him that they’d give him the medication, but not if he went on the interview.
Whole interview is worth listening to, because I’ve heard about things happening in one state but not another, because some states are better than others. And there are time limits on appeals, and a lot of people don’t know the rules, so I’m sure a lot of people don’t even try.
My letter to reps:
AI or any type of automation should be prohibited in the health insurance claim denial process.