Brigham Buhler

One of the denied to pose, you know, if they deny, I am in my contract required by law to go after you for the additional money. I have to chase. Yes. I have to chase you down, but I never wanted $900. All I wanted was the $300 you owed me in the first place. That was it. But I can't get that because you won't give me a contract.

One of the denied to pose, you know, if they deny, I am in my contract required by law to go after you for the additional money. I have to chase. Yes. I have to chase you down, but I never wanted $900. All I wanted was the $300 you owed me in the first place. That was it. But I can't get that because you won't give me a contract.

One of the denied to pose, you know, if they deny, I am in my contract required by law to go after you for the additional money. I have to chase. Yes. I have to chase you down, but I never wanted $900. All I wanted was the $300 you owed me in the first place. That was it. But I can't get that because you won't give me a contract.

And that's what's happening with surgery centers, MRI centers, hospitals. There's in-network and there's out-of-network. You, the patient, oftentimes pay for out-of-network benefits and coverage. And then the insurance company tries to deny it and make it impossible for you to get that. And oftentimes clinicians are out-of-network.

And that's what's happening with surgery centers, MRI centers, hospitals. There's in-network and there's out-of-network. You, the patient, oftentimes pay for out-of-network benefits and coverage. And then the insurance company tries to deny it and make it impossible for you to get that. And oftentimes clinicians are out-of-network.

And that's what's happening with surgery centers, MRI centers, hospitals. There's in-network and there's out-of-network. You, the patient, oftentimes pay for out-of-network benefits and coverage. And then the insurance company tries to deny it and make it impossible for you to get that. And oftentimes clinicians are out-of-network.

Like the biggest, baddest, best, brightest minds for orthopedic surgery in the state of Texas, arguably is University of Texas, UT Medical School. UT Medical School is kicked off. of Optum and United Healthcare's plan. So if you're, let's say you blow an ACL, you know, the Texans, Rockets, Astros, Team Doctors, all those guys, for the most part, are either at Methodist or UT.

Like the biggest, baddest, best, brightest minds for orthopedic surgery in the state of Texas, arguably is University of Texas, UT Medical School. UT Medical School is kicked off. of Optum and United Healthcare's plan. So if you're, let's say you blow an ACL, you know, the Texans, Rockets, Astros, Team Doctors, all those guys, for the most part, are either at Methodist or UT.

Like the biggest, baddest, best, brightest minds for orthopedic surgery in the state of Texas, arguably is University of Texas, UT Medical School. UT Medical School is kicked off. of Optum and United Healthcare's plan. So if you're, let's say you blow an ACL, you know, the Texans, Rockets, Astros, Team Doctors, all those guys, for the most part, are either at Methodist or UT.

Well, you can't get to those guys because they're out of network for you. If you have an out of network plan, you can use it and pay a bigger co-payer deductible to get to go see those guys. Does that make sense? Yes. But they have to bill them out of network and they'll get paid a percentage of the bill charges.

Well, you can't get to those guys because they're out of network for you. If you have an out of network plan, you can use it and pay a bigger co-payer deductible to get to go see those guys. Does that make sense? Yes. But they have to bill them out of network and they'll get paid a percentage of the bill charges.

Well, you can't get to those guys because they're out of network for you. If you have an out of network plan, you can use it and pay a bigger co-payer deductible to get to go see those guys. Does that make sense? Yes. But they have to bill them out of network and they'll get paid a percentage of the bill charges.

I think what I tell people is the same way these insurance companies are using AI algorithms to deny coverage, they are going to use large language models and AI to obstruct your ability to get care. The last person in the world you want digging through your underwear drawer is the federal government, but the second is the insurance companies. You don't want them to know your blood work.

I think what I tell people is the same way these insurance companies are using AI algorithms to deny coverage, they are going to use large language models and AI to obstruct your ability to get care. The last person in the world you want digging through your underwear drawer is the federal government, but the second is the insurance companies. You don't want them to know your blood work.

I think what I tell people is the same way these insurance companies are using AI algorithms to deny coverage, they are going to use large language models and AI to obstruct your ability to get care. The last person in the world you want digging through your underwear drawer is the federal government, but the second is the insurance companies. You don't want them to know your blood work.

You don't, unless you need a procedure or something that's coming up that's catastrophic because they're going to use it and use AI to screen you out of their system. Right. And if they think you're headed towards a catastrophic event, like a heart attack or surgery or cancer, they're going to want to get you out of there before that manifests.

You don't, unless you need a procedure or something that's coming up that's catastrophic because they're going to use it and use AI to screen you out of their system. Right. And if they think you're headed towards a catastrophic event, like a heart attack or surgery or cancer, they're going to want to get you out of there before that manifests.

You don't, unless you need a procedure or something that's coming up that's catastrophic because they're going to use it and use AI to screen you out of their system. Right. And if they think you're headed towards a catastrophic event, like a heart attack or surgery or cancer, they're going to want to get you out of there before that manifests.

And the average person is employed or is insurance comes from their employer. And so if I'm a CEO at United and I know you're headed towards, you know, something catastrophic. I can delay your ability to uncover that through putting these obstructions on things that don't make me money. Oh, come on. You think they would do that? Oh, absolutely. Like diabetes is a prime example.

And the average person is employed or is insurance comes from their employer. And so if I'm a CEO at United and I know you're headed towards, you know, something catastrophic. I can delay your ability to uncover that through putting these obstructions on things that don't make me money. Oh, come on. You think they would do that? Oh, absolutely. Like diabetes is a prime example.