Plays/Health & Insurance

PlayChatGPT

Dispute a $1,201.80 dental bill with ChatGPT-drafted insurance appeals

Jamie Phillis used ChatGPT to read a dental bill. It flagged a screening Phillis didn't consent to, two evaluations billed on the same day, and photos charged at seven times the allowed rate.

Reported by Jamie Phillison businessinsider.com

A prompt to try

Here are my dental/medical bill [paste], my explanation of benefits [paste], notes from my call with the insurer [paste], and the insurer's appeal instructions [paste].
1. Explain each charge in plain English.
2. Flag charges that look wrong: services I didn't consent to, codes that can't be billed together on the same day, amounts above the allowed rate, network problems.
3. Work out what I should owe based on allowed amounts and my coinsurance.
4. Draft an appeal letter that follows the instructions exactly, plus mailing instructions. Mark anything you're unsure about.

Fill in anything in [brackets] before you send it. Anything that spends money, sends a message or signs something should stay behind your own approval.

How it went, step by step

  1. 01Upload the bill and the explanation of benefits, and ask what each charge is and which ones look wrong.
  2. 02Call your insurer, transcribe the call, and give the transcript to the assistant.
  3. 03Ask it to draft the appeal following your insurer's exact instructions, then revise it until it's accurate.
  4. 04If the first appeal is denied, upload the denial and ask about a second-level appeal and a complaint to your state insurance department.
Read the original source Discuss in the forum