Health · News · 🇺🇸 United States · via agentusecases.ai
A startup uses AI to contest health insurance denials
Counterforce Health, from North Carolina, trained AI on billing codes, external reviews and lawsuits against insurers.
- Profession
- Patient
- Tools
- Counterforce Health
- Source
- cityviewnc.com ↗
- Country
- 🇺🇸 United States
- Found via
- agentusecases.ai (Alex Finn) ↗
- Report date
- no date
- Verified on
- October 25, 2026
What they did
The user picks a common denial (for example, a surgery coded incorrectly) or uploads the policy, medical records and denial letter. The tool drafts the appeal using code databases, external review decisions and lawsuits against insurers, and can call the insurer.
How it went
The report presents the service; it doesn't give a success rate.
Good to know
In Brazil, health plan denials can go to the ANS (NIP complaint process) and the courts; keep the denial in writing.
The prompt
The plan [name] denied [procedure] citing [reason]. My contract says [excerpt] and the doctor recommended it for [clinical reason]. Write a formal appeal citing the ANS procedure list and the medical recommendation, and tell me the next step if they deny it again.
Replace what is in [brackets]. Prompt written by us from the account, not a literal copy of the source. Do not paste other people’s personal data (privacy laws such as LGPD and GDPR apply).
Summary in our own words. Results as stated in the original account; we have not tested or audited them. Read the source ↗ Case found via agentusecases.ai (Alex Finn); text and prompt rewritten by us. Found a mistake?
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