An individual whose brother-in-law recently passed has explained how they managed to slash the hospital medical bills left behind from hundreds to tens of thousands. Nthmonkey on Threads claims that they disputed the hospital’s original bill of $195,000 for treatment of their relative’s final four hours of intensive care after a heart attack. According to them, AI chatbot advice was instrumental in analytically, calmly, and coolly reducing the bill to a far more reasonable $33,000.
Medical stress
Coping with the death of a loved one is a terribly difficult experience. With all the emotions washing over you, it doesn’t feel like a time to raise a dispute over medical bills, to ‘penny pinch.’ While signing a check for thousands (nearly $200,000 in this case) might help you put such a terrible life event in the rearview mirror, it isn’t right to reward those who would cheat you and/or others from a life’s inheritance.
Nthmonkey explained the final bill was sky-high largely because their relative’s medical insurance had lapsed two months prior to the fateful day. But the scale of the charges was extraordinary, and the bill they received was incredibly opaque.
Claude AI might be characterized as the hero in this particular case. But the mourning individual had to first go into some to-and-fro with the hospital administrators – to lift the veil and break down what exactly ‘Cardiology’ at ‘$70,000’ represented, for example.
Once a satisfactory level of transparency was achieved (the hospital blamed ‘upgraded computers’), Claude AI stepped in and analyzed the standard charging codes that had been revealed.
Claude proved to be a dogged, forensic ally. The biggest catch was that it uncovered duplications in billing. It turns out that the hospital had billed for both a master procedure and all its components. That shaved off, in principle, around $100,000 in charges that would have been rejected by Medicare. “So the hospital had billed us for the master procedure and then again for every component of it,” wrote an exasperated nthmonkey.
Furthermore, Claude unpicked the hospital’s improper use of inpatient vs emergency codes. Another big catch was an issue where ventilator services are billed on the same day as an emergency admission, a practice that would be considered a regulatory violation in some circumstances.
Hospital thought 'it could just grab money from unsophisticated people'
“Long story short, the hospital made up its own rules, its own prices, and figured it could just grab money from unsophisticated people,” asserts medical bill dispute winner nthmonkey. Their win came thanks to Claude AI’s analysis, as we discussed above, and the chatbot’s help in drafting correspondence. After its great work on the figures, the chatbot helped create letters that held aloft the sword of legal action, bad PR, and appearances before legislative committees.
Ultimately, the dispute about the billing whittled it down to $33,000 (from $195,000, remember), but that didn't occur before the hospital had stooped even lower by trying to get the bereaved parties to appeal to charity to help with their huge bill...
Nthmonkey is satisfied with the outcome of this dispute. But seemed even more satisfied with the performance of their $20 per month Claude subscription (other AIs are available). “I had access to tools that helped me land on that number, but the moral issue is clear. Nobody should pay more out of pocket than Medicare would pay. No one,” they concluded in their Threads thread. “Let’s not let them get away with this anymore.”
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