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thallium205

988 karma · joined December 7, 2012

http://toolongdidntread.com
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thallium205··on What we've learned from a year of building with LLMs
We have a company mail, fax, and phone room that receives thousands of pages a day that now sorts, categorizes, and extracts useful information from them all in a completely automated way by LLMs. Several FTEs have been reassigned elsewhere as a result.
thallium205··on James Webb Space Telescope Finds Most Distant Known Galaxy
The JWT cost more both in dollars and time than the Manhattan Project.
thallium205··on Turn Your iPhone into a Dumb Phone
What compact camera do you use?
thallium205··on Doctor at Cigna said bosses pressured her to review patients' cases too quickly
It’s terrible to implement at the business and industry level - the required details enclosed with the messages are wholly insufficient to properly communicate claims as well as claim payments between payers and providers. Yet nothing can be done as the law requires its usage.
thallium205··on Doctor at Cigna said bosses pressured her to review patients' cases too quickly
New York is a no fault state. Billing those NF3 claims almost always requires going to arbitration. It’s a terrible arrangement.
thallium205··on Doctor at Cigna said bosses pressured her to review patients' cases too quickly
Nah prior auths (prepay) can get screwed up just as much as claims (postpay) for the same reason.
thallium205··on Doctor at Cigna said bosses pressured her to review patients' cases too quickly
ICD10 is not the problem - x12 is.
thallium205··on Doctor at Cigna said bosses pressured her to review patients' cases too quickly
No. The specification mandated by HIPAA law is x12 837 and 835 documents. They are awful.
thallium205··on Doctor at Cigna said bosses pressured her to review patients' cases too quickly
It is a terrible specification that causes all kinds of problems but is one mandated by law and must be used.
thallium205··on Doctor at Cigna said bosses pressured her to review patients' cases too quickly
These companies exist for out-of-network billing. Unnecessary for in-network billing.
thallium205··on Doctor at Cigna said bosses pressured her to review patients' cases too quickly
That is because you likely went to a provider with a competent billing department. If you go to one with a bad one you will get results like OP. It does not matter if your employer was self funded or if you got the plan over the marketplace. The claim simply will not adjudicate correctly.
thallium205··on Doctor at Cigna said bosses pressured her to review patients' cases too quickly
If the visit is in-network or an emergency the insurance company will prevent the practice from billing you anything until the denial is fixed. You don’t have to do anything other than throw the letter away and just wait for them to fix it.

If the practice tries to bill you anyway that’s called balance billing, is illegal, and violates their contract with your insurance company and you can call your insurance’s hotline to report them.

thallium205··on Doctor at Cigna said bosses pressured her to review patients' cases too quickly
Medicare/medicaid denies for medical necessity all the time.
thallium205··on Doctor at Cigna said bosses pressured her to review patients' cases too quickly
Nine times out of ten it’s because the provider did not document or code it correctly when they billed your insurance.

Of course the insurance companies always get the heat but it’s probably the minimum wage biller at the office that justified the bone set with an incorrect urinary tract infection diagnosis code that will obviously get denied.

In the future it’s useful to call the provider and ask for a copy of what they submitted to your insurance.

thallium205··on Cops can force suspect to unlock phone with thumbprint, US court rules
Android had lockdown mode but it has to be enabled.

https://www.androidcentral.com/apps-software/how-to-disable-...

thallium205··on Airlines in the U.S. charge separately for checked bags in order to reduce tax
Southwest Airlines still does not charge a bag fee.
thallium205··on Tell HN: Reddit now blocks VPN access via browser, 'old' subdomain included
Yes but it isn’t a recent development. They’ve been blocking ExpressVPN IPs for the past year or so.
thallium205··on Hot takes on Devin, the AI software engineer
You don’t understand why companies build stuff to save other companies money?
thallium205··on Shields up: New ideas might make active shielding viable
And solar flare based weapons systems.
thallium205··on EU Probes Apple's Decision to Shut Down Epic's Developer Account
They don’t want a litigious bad mouthing customer onboard so they fired them. It’s a story as old as time that happens daily.
thallium205··on U.S. opens UnitedHealth antitrust probe
My mailman refuses to take my stamped envelopes out of my mailbox. Can't be bothered.
thallium205··on Pains of building your own billing system
It is typical in the health insurance billing world where the check is sent separately from the explanation of benefits which details how they are paying for everything. You may get a random check in the mail that is paying for claims described in a separate letter or fax you received weeks earlier.
thallium205··on Mozilla's new service tries to wipe your data off the web
I ran my info through the scanner and it said it found hundreds of matches. I looked through them and exactly 0 of them were me. Trash.
thallium205··on Better Call GPT: Comparing large language models against lawyers [pdf]
I wouldn't blindly trust what a lawyer says either so there's no difference there.
thallium205··on Boeing whistleblower: MAX 9 production line has "enormous volume of defects"
It's Boeing's job to stop the line but they didn't as the whistleblower mentioned:

"As a result, this check job that should find minimal defects has in the past 365 calendar days recorded 392 nonconforming findings on 737 mid fuselage door installations (so both actual doors for the high density configs, and plugs like the one that blew out). That is a hideously high and very alarming number, and if our quality system on 737 was healthy, it would have stopped the line and driven the issue back to supplier after the first few instances."

thallium205··on Kayak's new flight filter allows you to exclude aircraft models
Kayak can arrange your car, hotel, etc. Google only does flights.
thallium205··on A week with a Ford F-150 Lightning
The US government has mandated that vehicles be large due to CAFE regulations.
thallium205··on NY Times copyright suit wants OpenAI to delete all GPT instances
It will be equally easy for ChatGPT to rewrite copyrighted content that makes the output materially different for a copyright claim to succeed also.
thallium205··on NY Times copyright suit wants OpenAI to delete all GPT instances
What if they OCR’d the newspapers? No ToS there.
thallium205··on Post-apocalyptic life in American health care
Vaporware.
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