Iowa Technology Summit 2025 — Innovation Track — 1:15 PM - Technology Association of Iowa
39541
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Revolutionizing Patient Appeals with GenAI: Claimable's RAG-Powered Solution
INNOVATION TRACK / CASE STUDY

ROOM 312-313 / APR. 8 / 1:15 PM - 1:40 PM
About this session

Navigating the appeals process for denied medical insurance coverage can be overwhelming for patients already dealing with health concerns. Claimable’s innovative use of Generative AI, powered by Retrieval-Augmented Generation (RAG), is transforming this traditionally frustrating and time-consuming process into one that is faster, easier, and more effective for patients.

In this session, we’ll explore how Claimable designed a system that empowers patients to appeal denials with all relevant evidence seamlessly integrated, ensuring their cases are presented clearly and effectively. By automating the tedious work of gathering and organizing data, Claimable’s AI solution enables patients to focus on their well-being instead of navigating bureaucracy.

Attendees will gain insights into the technology behind this system, including the decisions that led to adopting RAG, the challenges of tailoring AI to a highly sensitive and regulated domain, and the real-world impact this solution is making on patients’ lives.

Key takeaways

1. How Generative AI can alleviate pain points for end users navigating complex systems like insurance appeals.

2. The importance of designing AI solutions that prioritize user experience and efficiency.

3. Lessons from tailoring AI for sensitive, high-stakes scenarios like medical coverage appeals.

Speakers
Ben Goerdt
Head of Engineering
Claimable

Ben Goerdt is a seasoned software engineer with over a decade of experience building innovative solutions that simplify complex processes. As Head of Engineering at Claimable, Ben led the development of a Generative AI-powered system that empowers patients to confidently navigate and appeal insurance denials. His expertise in creating human-centric technology ensures meaningful impacts for end users.

Zach Veigulis
Chief AI Officer
Claimable

Zach Veigulis is the former Chief Data Scientist at VA’s National Center for Collaborative Healthcare Innovation with over 10 years of experience in healthcare data science. A peer-reviewed researcher, his work has earned 150+ citations and has led to impacts including changing the standard of care early in the COVID pandemic. He leads all things AI at Claimable, pulling on his deep expertise in data science and long history of working with healthcare data.

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