Insurance company repeatedly denied Concord woman’s medical claim, then AI delivered victory

2025-09-12 11:17:54 英文原文

作者：By Ethan Baron | ebaron@bayareanewsgroup.com | Bay Area News Group

Research by Premier suggests insurers deny 15% of medical claims

Lauren Gonzalves, a cancer care social worker, is seen at her home in Concord, Calif., on Tuesday, Sept. 9, 2025. Gonzalves uses the Counterforce website, which works with AI to help individuals dispute medical bills. (Ray Chavez/Bay Area News Group)

Chatbot and appeal-letter generator offered by Counterforce Health app, co-founded by medical researcher after wife's denials.

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Originally Published: September 12, 2025 at 4:00 AM PDT

Sept. 12, 2025: An earlier version of this article incorrectly reported the name of the AI platform. It is Counterforce Health.

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摘要

Research indicates that insurers reject approximately 15% of medical claims. A social worker, Lauren Gonzalves, utilizes an app called Counterforce Health, which employs AI to assist individuals in disputing medical bills. The Counterforce Health platform was co-founded by a medical researcher following his wife's experience with claim denials.