AI Ethics

Where AI is used

Explain My Denial uses AI to turn the details you confirm into a plain-language explanation. The explanation is generated by a Google Gemini model accessed through Google Cloud Vertex AI.

The appeal letter generator uses AI drafting or deterministic templates to produce an editable draft. This section is updated when the generator launches.

What AI receives

Only the details shown on the review screen: denial reason, codes, insurer, plan type, dates of service, and the stated deadline if you enter one. The tools are built to work without your name, date of birth, member ID, address, phone number, or email. Your uploaded file is read in your browser and is not sent to the AI model.

What AI does not do

• It does not decide whether your claim is covered.
• It does not file, send, or track anything.
• It does not contact your plan.
• It does not provide legal advice, medical advice, or clinical judgment.

Limits

AI output can be incomplete or wrong. Check it against your denial notice and plan documents. It is general information, and it does not predict the result of your appeal.

Your control

You review the details before anything is sent. You decide what to do with the explanation. Nothing is submitted for you.

Questions about how AI is used here can go to compliance@remedy.support.