How Claimable Uses AI to Overturn Unjust Denials

Claimable is a health insurance appeals platform that helps patients overturn denied medication and treatment claims. This talk is a case study of building AI systems that do real, high-stakes work in healthcare. It covers how Claimable uses AI to generate appeal letters grounded in clinical evidence, insurer policy, and patients' legal rights, and digs into how the team has matured its AI systems over the past year: iterating on evaluation pipelines to measure letter quality, creating AI-powered feedback loops that use appeal outcomes to improve future letters, and developing internal AI tooling that accelerates onboarding of new drugs and conditions from weeks to days. Join us for the next DSM AI Group! 5:30 - 6:00 - Socializing/Networking 6:00 - Speaker begins