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Ask HN: App to Handle Prior Authorizations?

1 点作者 enceladus0610 个月前
Prior authorizations to insurance companies for medical care are annoying.<p>The idea is to make a HIPAA-compliant tool to help doctors handle prior authorization submissions and denials from insurance companies. Basically this would be HIPAA-compliant GPT with customizations to draft requests and appeal letters, but it could also pull from recent research studies to build the case for certain authorizations, and track prior authorization submissions.<p>The value proposition is that it would reduce time doctors and staff spend on PA requests and increase approval rates.<p>What does HN think? Would this be worth building?

1 comment

JSDevOps10 个月前
How would this work exactly with current LLMs? Like this surely would yield such inconsistent results? It would be gamed. Again one of these just slap AI on it and hope for the best. Surely you need a robust process for prior authorisations which can be handled by some sort of automation. Not AI.
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