RiskReversal Pod Denied Claims, AI Agents, and the Battle to Fix American Healthcare with Sina Chehrazi
May 15, 2025
Sina Chehrazi, CEO and founder of Nayya, shares his journey from law to healthcare tech innovation. They dive into the complexities of the American healthcare system and how Nayya leverages AI to navigate denied claims and improve user experiences. Chehrazi discusses the impact of recent executive orders on drug prices and highlights the need for cost reduction to promote a healthier market. The conversation also touches on the challenges independent consumers face in accessing benefits, emphasizing the importance of transparency in healthcare.
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Founder’s Healthcare Family Roots
- Sina Chehrazi grew up in a healthcare family with deep roots in medicine and mental health institutions.
- Despite family expectations, he pursued law and tech before founding Nayya to improve healthcare using data and AI.
Claims Appeal Success Rates
- 850 million medical claims are rejected annually in the U.S., but only 1% are appealed.
- Of those appeals, 75% are approved, showing the power of appealing denied claims.
AI Accelerates Claims Appeals
- Nayya uses AI to automatically draft appeal letters for denied claims using real-time medical research.
- This process helps consumers get rightful payments before they even notice the rejection.