Mike Gartner, PhD

@misc{KFFReport,
  author = {Pollitz, Karen and Rae, Matthew},
  title  = {Claims Denials and Appeals in ACA Marketplace Plans in 2020},
  type   = {Article},
  number = {July 5},
  year   = {2020},
  url    = {https://www.kff.org/private-insurance/issue-brief/claims-denials-and-appeals-in-aca-marketplace-plans/}
}


@misc{KFFConsumerAppealRights,
  author = {Pollitz, Karen},
  title  = {Consumer Appeal Rights in Private Health Coverage},
  type   = {Article},
  number = {December 10},
  year   = {2021},
  url    = {https://www.kff.org/private-insurance/issue-brief/consumer-appeal-rights-in-private-health-coverage/}
}


Introduction of a corpus, appeal outcome prediction task, a novel benchmark for that task, and modeling baselines.

Health Insurance Coverage Rules Interpretation Corpus: Law, Policy, and Medical Guidance for Health Insurance Understanding.

An investigation of public claims denial and appeal data.

Health Insurance Coverage Rules Interpretation Corpus: Law, Policy, and Medical Guidance for Health Insurance Understanding.

Authors

Affiliations

Date Published