[rwissmann]

How do you handle the interaction with insurance plan information like accrued deductible? Certainly aims to guarantee the patient responsibility, right?

Love to see innovation in this space!

The challenge of not knowing what other services might end up being done seems daunting from a UX perspective. Hopefully you guys can find a solution.

(I was early on the Data team at Oscar Health, so have more than my fair share of experience with thorny health care pricing data.)

[blastbking]

When patients enter their insurance, we have an API we use to retrieve their deductible remaining info, and then we use that to calculate their out of pocket cost that we show. And yes, we guarantee the patient responsibility!

Definitely a challenge timing wise if a patient does other services with other doctors off platform between when we quote them and they see the doctor though.

Would love to trade notes on the pricing data!

[rwissmann]

Getting timely, accurate data from the insurance companies on this intuitively feels hard. What are the guarantees around those APIs? There are so many path-dependent factors, like outstanding claims, readjudication of old claims, or "revenue optimization" games on the backend.

Happy to connect if it would be helpful for you!