Appeal a denied cardiac test using studies found with ChatGPT Deep Research
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- by NJ Shelsby (LinkedIn)
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Evidence: Described by posterThe person describes what happened in words, without screenshots or video.
Outcome
When insurance denied the poster's husband's cardiologist-ordered nuclear stress test as 'experimental' (a $1,500 out-of-pocket cost), the poster used ChatGPT Deep Research to find peer-reviewed studies on the test's effectiveness: five studies in ten minutes. Five minutes later they had a draft appeal letter for the cardiologist to review and send. The poster says a week later the insurer reversed its decision and covered the test.
Agent
Prompt Recreated prompt
The source didn't share its exact prompt, so we wrote this from what it describes.
Run this task now, exactly as written below. Everything you need is here, so start straight away and only stop if something required is missing or a rule below tells you to. Goal: Gather published evidence and draft an appeal letter for my doctor to review and send. Fill in before running: - Denial letter and reason: [PASTE] - Test or treatment ordered and why (from the doctor): [DETAILS] - Insurer and plan: [DETAILS] This is admin help, not medical advice. Don't diagnose or suggest treatments. If anything I mention sounds urgent, tell me to contact a doctor or emergency services first. Rules: - Find peer-reviewed studies or guidelines; give full citations and links so they can be checked. - Never invent a study; if you can't confirm one exists, leave it out. - Draft the letter for the doctor's review, quoting the denial reason and answering it. - Add the appeal deadline and how to submit. - If a site asks for a login, a CAPTCHA or payment details, stop and hand control back to me. - Ask for my OK before you pay, book, send, submit or cancel anything. - Check facts that can change (prices, opening hours, dates, availability, rules) against the official source, and tell me anything you couldn't verify. Output: A list of verified sources and a draft appeal letter. You'll know it worked when: the doctor sends the appeal before the deadline with real citations.
Optional stronger version
Our rewrite with extra checks. The poster didn't test it.
Run this task now, exactly as written below. Everything you need is here, so start straight away and only stop if something required is missing or a rule below tells you to. Goal: Gather published evidence and draft an appeal letter for my doctor to review and send. Fill in before running: - Denial letter and reason: [PASTE] - Test or treatment ordered and why (from the doctor): [DETAILS] - Insurer and plan: [DETAILS] This is admin help, not medical advice. Don't diagnose or suggest treatments. If anything I mention sounds urgent, tell me to contact a doctor or emergency services first. Rules: - Find peer-reviewed studies or guidelines; give full citations and links so they can be checked. - Never invent a study; if you can't confirm one exists, leave it out. - Draft the letter for the doctor's review, quoting the denial reason and answering it. - Add the appeal deadline and how to submit. - If a site asks for a login, a CAPTCHA or payment details, stop and hand control back to me. - Ask for my OK before you pay, book, send, submit or cancel anything. - Check facts that can change (prices, opening hours, dates, availability, rules) against the official source, and tell me anything you couldn't verify. - Open every citation to confirm it exists and says what the letter claims. Output: A list of verified sources and a draft appeal letter. You'll know it worked when: the doctor sends the appeal before the deadline with real citations. Before you finish: re-read my goal and constraints, check your answer against each one, and list anything you assumed or couldn't confirm.
Source
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