1 link tagged with all of: ai-claims + medical-practice + insurance-automation + healthcare-billing
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Insurance companies are using AI to automatically reject claims at scale, leaving medical practices buried in appeals work they can't handle. Korex is a startup building software to audit these rejections and generate policy-backed appeals automatically.
- Insurance carriers have replaced human claims adjusters with automated rejection systems, causing a spike in erroneous denials that practices lack resources to challenge
- Medical billing departments can't manually contest every denial, so millions in legitimate claims go unpaid or get shifted to patients as unexpected bills
- Korex's approach: automatically cross-reference denial codes against clinical charts and payer policies to generate verified appeals in one click, with a $299/month pricing model per clinic