Arthur Besse@lemmy.ml to Not The Onion@lemmy.worldEnglish · 1 year agoMedicare Will Start Paying AI Companies a Share of Any Claims They Automatically Rejectfuturism.comexternal-linkmessage-square14linkfedilinkarrow-up14arrow-down10
arrow-up14arrow-down1external-linkMedicare Will Start Paying AI Companies a Share of Any Claims They Automatically Rejectfuturism.comArthur Besse@lemmy.ml to Not The Onion@lemmy.worldEnglish · 1 year agomessage-square14linkfedilink
minus-squareFeathercrown@lemmy.worldlinkfedilinkEnglisharrow-up1·1 year agoI’ve wondered this for a while: Insurance is a contractual obligation on the insurer’s part, right? What’s stopping me from just suing them for breach of contract rather than going through their appeals process if they illegally deny my claim?
minus-squareWolfLink@sh.itjust.workslinkfedilinkEnglisharrow-up1·1 year agoProbably some terms and conditions you signed as part of the contract
minus-squareVenus_Ziegenfalle@feddit.orglinkfedilinkEnglisharrow-up1·1 year ago What’s stopping me from just suing them for breach of contract rather than going through their appeals process if they illegally deny my claim? The cost of a lawyer that can hope to match theirs. They don’t care if it loses them money as long as it deters others from trying the same.
I’ve wondered this for a while: Insurance is a contractual obligation on the insurer’s part, right? What’s stopping me from just suing them for breach of contract rather than going through their appeals process if they illegally deny my claim?
Probably some terms and conditions you signed as part of the contract
The cost of a lawyer that can hope to match theirs. They don’t care if it loses them money as long as it deters others from trying the same.