Transforming Health Insurance Appeals with AI-Powered Solutions

Transforming Health Insurance Appeals with AI-Powered Solutions

Transforming Health Insurance Appeals with AI-Powered Solutions

About

In the United States, the healthcare and insurance industries have a tenuous relationship. Theoretically, insurance makes healthcare affordable; in reality, patients are often denied care that has been recommended by their physician. These denials are vague and confusing, and 47% of patients who did not appeal their denial did not receive care. The appeal process is overwhelming: the language is confusing, the process is opaque, and the system works against patients.

Claimable leverages technology to make the claims process simpler and more effective. In collaboration with Claimable, the project focused on defining their brand language and designing the initial user experience of their product. The aim was to better understand the wants, needs, and desires of potential customers, and to assist the Claimable team in communicating the product's value to potential investors.

Challenge

Navigating the complex maze of health insurance appeals

The health insurance appeal process is extraordinarily confusing for people who want to appeal their denial.

Business Value

Simplifying insurance appeals with direct-to-consumer solutions

Claimable offers a direct-to-consumer model that provides a simple way for patients to describe their denial experience in simple language, and receive a comprehensive denial appeal letter.

User Value

Patients can receive the care they need and deserve

Claimable simplifies the complexities of health insurance appeals, making the process accessible and efficient, ensuring timely and comprehensive support for their healthcare needs.

Building Claimable's Brand Identity and User Experience

The team worked with Claimable to develop their brand identity, including the company's voice, look and feel, and how these elements come together in the product. We created a detailed brand strategy, which included basic principles and vision to make communication clear and consistent, and creating a personality framework.

In our approach we focused on defining unique brand traits, using language that connects and motivates, developing different voices for various situations, and identifying key messages for the target audience. We also outlined the overall communication style and provided examples to ensure consistency.

Building a Strong Visual Identity for Claimable

For Claimable's visual identity involved creating designs that encompass the logo, color palette, typography, and illustrations. We ensured these elements were consistently applied across all product and marketing touchpoints. This included designing a versatile and recognizable logo, selecting a cohesive color palette, and choosing appropriate typefaces. We also developed illustrations and icons that aligned with the brand's style and ensured their effective application across the website and other materials.

Creating Claimable’s MVP: A User-Centric Approach

Our work on Claimable's MVP focused on developing a seamless, AI-powered platform to help users secure the care they deserve. The platform analyzes clinical research, policy details, appeals data, and personal medical stories to generate customized appeals in minutes. Users upload a denial letter, answer simple questions, receive an expert appeal, and get guided support for submission. This streamlined process aids in navigating denied healthcare claims effectively.

Key Elements of Our Product Offering

Simple and fast entry of the patient-experience information necessary produce a claim appeal letter.



Clear indication of progress, along with periodic moments of encouragement, to help a patient see positive advancement towards their goal.

A fair payment process, making it clear what a patient is purchasing and why it's valuable.

Simple and fast entry of the patient-experience information necessary produce a claim appeal letter.

Clear indication of progress, along with periodic moments of encouragement, to help a patient see positive advancement towards their goal.

A fair payment process, making it clear what a patient is purchasing and why it's valuable.

Let’s work together

Let’s work together

Let’s work together