How AI and Telehealth Are Changing the Way Your Disability Claim Is Reviewed

Tucker Disability Law | October 15, 2024

If you’re receiving long-term disability benefits, you’ve probably noticed that technology is changing how things work. The way doctors evaluate your condition and how insurance companies review your claim isn’t the same as it used to be. With AI and telehealth in disability claims, things are moving faster, but they’re also becoming more complicated. Let’s break down what this means for you and your benefits.

How Telehealth Is Making Disability Claims Easier

If you’ve had a virtual doctor’s appointment recently, you’ve already experienced telehealth in action. It’s convenient, especially if getting to the doctor is tough due to your condition. With telehealth, you can meet with your healthcare provider from the comfort of your home. This can help you keep up with appointments and get the medical documentation you need for your disability claim.

But telehealth isn’t perfect. Because your doctor can’t do a full physical exam over a video call, some details about your condition might not get documented as thoroughly. That’s why it’s important to have a mix of telehealth and in-person visits when needed to make sure your medical records are complete. This can play a big role in making sure your claim goes through smoothly.

What Role Does AI Play in Your Disability Claim?

AI, or artificial intelligence, is something you might not even know is being used in your claim. Insurance companies are using AI to help them sort through medical records and make decisions faster. On the surface, that sounds great—you get answers more quickly, right? But here’s the catch: AI doesn’t understand the nuances of human health like a real person does.

Sometimes, the AI might flag a claim because it doesn’t follow the typical path for your condition. If your treatment plan is different from what the AI expects, your claim could be delayed or even denied. If that happens, don’t worry. You can always ask for a human to review your claim to make sure everything is considered fairly.

What You Can Do to Protect Your Disability Claim

Navigating AI and telehealth in disability claims doesn’t have to be overwhelming. Here are some things you can do to stay on top of your benefits:

  1. Make Sure Your Doctor Knows the Process: Whether you’re meeting your doctor virtually or in person, make sure they know what information is important for your disability claim. This will help ensure your medical records are thorough and accurate.
  2. Use Telehealth, But Don’t Skip In-Person Visits: Telehealth is great for follow-ups or routine appointments, but in-person visits may still be necessary for certain evaluations. A mix of both will give the full picture of your health, which is critical for your claim.
  3. Request a Human Review if Needed: If your claim is denied and you think AI had something to do with it, ask for a real person to take a look. You deserve a thorough and fair review of your case.
  4. Keep All Your Medical Records Organized: Whether it’s a telehealth or in-person visit, keep detailed records. This will help support your claim and ensure you get the benefits you need. 

Technology is changing how disability claims are evaluated, and it’s important to understand how AI and telehealth in disability claims can impact your benefits. While these tools can make things faster and more convenient, they can also introduce new challenges. By staying proactive—working with knowledgeable healthcare providers, mixing telehealth with in-person visits, and making sure your claim gets a human review if needed—you can ensure that your benefits are handled fairly.

How Tucker Disability Law Can Help

Navigating the disability claim journey solo can be overwhelming. Whether you’re initiating a claim, appealing a denial, or preparing for a legal proceeding, our team has the expertise to support you. Contact us at 866-994-5399 for a complimentary discussion about your case. We’re here to help you make informed decisions. We have over 30+ years of fighting the insurance companies and have a 98% win rate.

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