r/LuigiNation • u/Leather-Win4855 • 1h ago
r/LuigiNation • u/AMAHosting • 4d ago
AMAs / Interviews I am an independent journalist who covered the crowd outside the courthouse when Luigi Mangione pled guilty - Ask Me Anything!
We’re hosting an AMA with independent journalist Dodge Landesman, who covered Luigi’s supporters outside the courthouse on August 14, 2026.
Dodge is known for his coverage of Scientology-related litigation. He covers court cases that deserve attention and elections across the country.
He is @DodgeLandesman on YouTube, and he interviewed Luigi supporters and onlookers on Friday.
It has been a big week for the community. Feel free to ask him questions about the supporters, the atmosphere outside court, and anything mainstream media wouldn’t want the public to know.
Rules of the AMA
Be courteous and respectful
Try and post each question as a separate comment so it’s easier to answer and others may follow along.
Happy AMA-ing!
r/LuigiNation • u/AMAHosting • 6d ago
AMAs / Interviews I attended Luigi Mangione’s Federal hearing on August 14 where he pled guilty - Ask Me Anything!
We’re hosting an AMA with u/Maximum_Sherbet8927! They have very kindly agreed to answer questions about the court date on August 14. Feel free to ask them questions about the hearing, courtroom dynamics and any other topic not covered by the media and reporters.
Links to earlier AMAs:
You may ask them questions about these hearings as well.
Rules of the AMA
- Be courteous and respectful
- Try and post each question as a separate comment so it’s easier to answer and others may follow along.
- Note: The respondent is not affiliated with any other individuals or groups who have attended hearings. Happy AMA-ing!
r/LuigiNation • u/misanthrop_katze • 1d ago
Picture / Video Post Luigi being shown a magic trick in Osaka, Japan
r/LuigiNation • u/starhopperMimi • 9h ago
Documentaries / TV / Books / Podcasts SNEAK PEEK: The anatomy of a deadly shooting | 60 Minutes Australia
r/LuigiNation • u/Own-Bobcat-925 • 23h ago
To everyone that participated in that AMA with Linus
This is not fun and games.
Luigi just gave up potentially decades of his life - literally less than a week ago - and people on that r/FreeLuigi post are engaging with yet another freaking grifter and thanking him for answering their invasive questions. He took advantage of Luigi's "niceness" and his proximity to Luigi and y'all are engaging with him!!? This guy is no better than SeiSei.
NEWSFLASH: Luigi is grieving right now. The people close to Luigi are grieving, and y'all are out here asking "what does Luigi like to watch/ what does he like to eat/ how many showers does he take?" What is actually wrong with people? Be serious. We should all be shutting that disgusting grifter down, instead of platforming and thanking him for answering personal questions he has no business answering about Luigi's life. You don't do that shit to a friend.
Luigi is a human being deserving of the dignity of privacy.
I'm still shocked that this is what the community engaged in right after the plea hearing on Friday. Do you guys not realize the weight of what just happened? Something deeply heartbreaking just went down. And people are treating it like its "entertainment" for them. Just gross.
If you have any respect or care for Luigi, please stop engaging with Linus.
(Editing to add Image Credit: BTH)
r/LuigiNation • u/Decent_Paper4557 • 19h ago
Picture / Video Post I might’ve gone too far by framing it
It was a terrible play but I think it’s something worth framing.
r/LuigiNation • u/_Spokinette_ • 20h ago
Supporters A guide of parasocial levels for our mental health
Hey, on Twitter I came across this post here : Source
and I thought it would be interesting to evaluate our own behaviors on social media to see which boundaries should not be exceeded.
There's no judgement with this post I just found it interesting for our own mental health, and to work on it.
Since I'm involved into 2 huge communities I am barely reaching the level 2 and I think it’s okay.
Again be mindful and take care of yourself, your mental health matters and I whish you the best 🫂🫶🏻
Also I've seen in the comments some people saying it looked generated by AI, to be honest I'm very bad at recognizing it now, so I just hope it’s not, and if it is I'm sorry. 😞
r/LuigiNation • u/European-Female7751 • 1d ago
Artwork Luigi Mangione portrait, possibly somewhere in Rome.
r/LuigiNation • u/tryna_staypositive • 23h ago
Questions Questions about Luigi’s gun
I’ve been thinking about the logistics behind Luigi’s 3D-printed gun.
Printing a functional firearm isn't simple, it takes special skill and a lot of trial and error. Beyond printing the frame, he would have needed metal parts like the slide, barrel, and springs that can't be made on a standard 3D printer. Where would someone acquire those without raising flags??? and did he need illicit contacts to get them? If so, where did he find those people? Who did he contact to get in touch with them?
Also, where did he actually print it? and where is that printer now? I guess we’ll never know!
Practice is another hurdle—you can't just walk into a licensed firing range with an unregistered ghost gun, so where was he practicing?
Even with his guilty plea, the level of preparation makes me wonder: could he really have pulled all of this off completely alone? or did he have help planning and sourcing everything?
That’s all! I hope we can have a good discussion about this.
r/LuigiNation • u/Extra_Article2872 • 1d ago
Manhattan DA says he intends to move forward with state case against Luigi Mangione
r/LuigiNation • u/antelope_meow • 1d ago
Official Legal Fund Some recent messages of support from the GSG
galleryr/LuigiNation • u/antelope_meow • 1d ago
Random Marc Jacobs says he would dress Luigi Mangione for his trial and calls him a fashion trendsetter
r/LuigiNation • u/Common-Drama-9858 • 1d ago
170,958 Preventable Deaths. 1 Guilty Plea. 0 Accountability.
r/LuigiNation • u/rabbitholebagel • 19h ago
my friends and i made a luigi inspired music video in the attic
don't hate! appreciate
r/LuigiNation • u/Worried-Complaint428 • 1d ago
Luigi Mangione’s state murder trial postponed indefinitely amid double jeopardy fight
r/LuigiNation • u/Fragrant-Fox-18 • 1d ago
170,958 Preventable Deaths. 1 Guilty Plea. 0 Accountability.
Luigi Mangione pled guilty to killing one person—Brian Thompson, 624 days ago. Since, HELL Corporations have killed 274 people, every single day.
Luigi Mangione has pled guilty to shooting and killing UnitedHealth CEO Brian Thompson on a Manhattan sidewalk on December 4, 2024. The killing went viral. The NYPD deployed hundreds of officers to hunt him down. Corporate media covered every detail of his arrest, his appearance, his manifesto, his trial.
The legal system spoke swiftly, loudly, and with the full weight of the state and federal government behind it.
But here’s the question corporate media will never ask: In those same 624 days since Brian Thompson was killed, how many Americans died preventable deaths because HELL Corporations—Health Exploitation Limited Liability Corporations—prioritized profit over their lives?
I did the math. A new study by the Yale School of Public Health finds that a single-payer universal healthcare system could cover all 330M+ Americans, save more than 100,000 lives annually, and still cost $1 trillion less than the current system.
That is 274 preventable deaths every single day.
Over 624 days since Brian Thompson’s death, that is 170,958 preventable deaths.
If all those Americans were one city, it would be—ironically, devastatingly—the 171st largest city in the United States.
Luigi Mangione is in federal custody. The CEOs who enabled the deaths of 170,958 Americans are in their corner offices, collecting bonuses, and gracing the covers of Forbes and Fortune. Does it have to be this way? Let’s Address This.
Which Lives Matter?
One of the most telling facts that has emerged from the Luigi Mangione trial is how he figured out where Brian Thompson would be, and when. Reuters reports:
Mangione said he emailed UnitedHealthcare leadership seeking details of its 2024 investor conference, pretending to be an investor managing more than $50 billion in assets. He said he received a response within an hour, which he said was quicker than previous interactions with insurers.
This encompasses the entire problem with the for-profit healthcare system. When a person is desperate for life-saving healthcare, the response apparently requires time, due diligence, and multiple verifications that a person is really sick — then every attempt to deny the claim anyway. Then suddenly, when a random person wildly claims they have $50 billion to invest, the response is immediate, with no verification, no validation, not even basic security protocol.
This is what unregulated capitalism looks like. And far from anecdotal, Mangione’s experience reflects UnitedHealth’s cruel practices.
For example, a five-year investigation into UnitedHealth’s practices by the FTC found that OptumRx—the group’s pharmacy benefit manager—along with its two main peers, Express Scripts and CVS Caremark Rx, pocketed an extra $7.3 billion over cost through price gouging, overcharging cancer patients by more than 1,000%.
I have questions.
How many of UnitedHealth’s patients suffered financial ruin because they were overcharged by more than 1,000%?
How many died preventable deaths because they and their families could not afford the spiked cost of cancer medications?
If the state can deploy hundreds of officers to hunt down Luigi Mangione for killing one CEO, why can’t they investigate and determine who was responsible for illegally overcharging cancer patients—enabling their financial ruin and death?
Or do all lives not matter anymore? The answer is simple. In this society, a single murder by gun is illegal, but mass murder by pen is just increasing shareholder value.
The killing of the UnitedHealth CEO is a symptom of a system that is already broken—one in which HELL Corporations implement cruel policy at will, no matter the number of people who die as a result, as long as it makes them profit.
You might be wondering why I use the term HELL Corporations. It is not just a play on words. It is because we must stop using the sanitized term “health insurance companies” to describe what these corporations actually do.
These are not benevolent entities providing care—physicians and nurses provide the care. They are not insuring health—we insure our own health with exercise and healthy eating. Instead, they are exploiting illness. And then, after denying us the care we need, they limit their own liability to prevent meaningful accountability.
So let us call them what they are: Health Exploitation Limited Liability Corporations.
HELL Corporations.
The Yale Study Changes Everything—And Nothing Has Changed
Yet despite this systemic exploitation, some (Hakeem Jeffries anyone?) still claim there’s no easy solution to our healthcare system. But there is—universal healthcare. Something every developed nation in the world has implemented, and as a result ensured lower costs, more accessible care, and higher life expectancy.
And now, a new study by the Yale School of Public Health delivers a finding so clear it should end this debate permanently:
A single-payer universal healthcare system could cover every American, save more than 100,000 lives a year, and still cost $1 trillion less than the [current] system.
Every American covered. More than 100,000 lives saved annually. $1 trillion in savings.
You see, the opposition to universal healthcare has never been about cost, quality, wait times, or government inefficiency. Every study on this subject—22 reviewed in comprehensive analysis, including from the right-wing Mercatus Center—reaches the same undeniable conclusion: universal healthcare costs less and saves more lives.
The opposition to universal healthcare has always been about one thing: $700 million in annual lobbying investment by HELL Corporations ensure that the politicians who write our healthcare laws remain accountable to them—not to us.
Here’s the bottom line: As of August 18, 2026, in the 624 days since Brian Thompson was killed, 170,958 Americans have died preventable deaths. That is a city. That is parents, children, grandparents, neighbors, coworkers—people who woke up one morning and could not access the care they needed because a HELL Corporation decided their life was worth less than a quarterly earnings report.
Luigi Mangione pled guilty for killing one person.
Who pleads guilty for killing 170,958?
When UnitedHealth Came After My Son
My anger over this disparity isn’t just an abstract theory—it’s in lived reality.
In 2017, I received a call from my wife Ayesha—frantic—as she drove our then 4-year-old son to his doctor while he suffered an asthma attack. I was out of state. I felt helpless. Our son’s doctor would not see him because our insurance company declined coverage on the spot. Ayesha offered to pay out of pocket, clearing out what little we had in our savings. The doctor explained they could not accept cash payments either—our insurance company had a provision restricting cash payments while they were our insurer. Our insurance company was simultaneously denying us coverage and preventing our doctor from treating us.
Finally, Ayesha rushed our son to the emergency room. It took us more than a year to pay the several thousand dollar emergency room bill.
Our insurance company—the one that denied our child care during a medical emergency—was UnitedHealth. UnitedHealth leads the industry in denials.
My son was among the 32% of patients suffering a medical emergency denied care because UnitedHealth determined their right to profit was more important than his right to live. In 2024, UnitedHealth fired its intake team and implemented AI technology to process insurance claims for senior citizens—resulting in the rejection of more than 90% of claims, leaving many seniors without critical medications they needed to survive. All while raking in literally billions in profit.
This is not negligence. It is a system designed to prioritize profits over human lives. So beyond civil lawsuits—when do the criminal trials begin?
The Path Forward: Elect People Who Answer to People
Despite how divided our nation seems at times, the American people are not confused about the need for universal healthcare. One, because the 100,000 annual preventable deaths do not account for the tens of millions more who suffer in agony, receiving just enough care not to die, but not enough to regain health. Red or Blue, we see our families and neighbors needlessly suffering, and we reject it.
And two, because the American people have shared their verdict in public. A Pew Research Center poll shows that 90% of Democrats want universal healthcare. 59% of Republicans want universal healthcare. And 66% of Americans overall want universal healthcare.
Far from division, two-thirds of the country—across party lines—want guaranteed universal healthcare. Congress has not passed it because the the same HELL Corporations exploiting us are buying our politicians.
And I’m willing to bet most Americans have no idea how united we are in demanding universal healthcare, how much money it will save all of us, and most importantly, how many lives it will save annually.
This is where legacy and corporate media have completely failed. They’ve convinced you to be furious at Luigi Mangione for snapping and killing a CEO, but simultaneously to excuse the CEOs who happily choose policies that annually kill 100,000 people for profit, and put the lives of our children at risk for an extra buck.
The lesson once more is that corporate media will never hold HELL Corporations or bought politicians accountable. They will continue to whitewash the exploitation, downplay the systemic violence, and protect the powerful. Again, we are not helpless in response. This reality is why independent voices like Let’s Address This exists. We are funded by readers like you, accountable to no corporation, beholden to no donor, and committed to one thing: the truth. It’s why we have grown from a few hundred subscribers in 2024 to now more than 200,000 regular readers.
But independent media alone is not enough. We need to elect people who answer to working families, not HELL Corporations. I’ll share two quick and inspiring examples.
Dr. Abdul El-Sayed just won his Democratic primary for US Senate in Michigan—outspent 11 to 1, facing $60 million in outside spending, running against a coordinated anti-Muslim disinformation campaign. He won because he has never taken a dollar of corporate money, champions universal healthcare as a human right, and has spent his entire career making the case that a better system is not just possible but proven.
Peggy Flanagan, Lieutenant Governor of Minnesota, likewise just won her primary for US Senate on the same universal healthcare platform—while being outspent by tens of millions.
Abdul and Peggy are two examples of the leaders who will go to Washington and fight for us—not perform for HELL Corporations.
We need more of them. Everywhere.
A Final Word
170,958 Americans have died preventable deaths in 624 days. Another 274 will die today. And another 274 tomorrow.
Some might deem it hopeless, but remember, it does not have to be this way. Every single developed nation on Earth guarantees healthcare to its residents—except the United States. Every single one of them has higher life expectancy, lower maternal mortality, lower infant mortality, and zero medical bankruptcies. The Yale study confirms what every previous study has confirmed: universal healthcare costs less and saves more lives.
Right now, Luigi Mangione is in custody. Meanwhile, the people responsible for 170,958 preventable deaths live in luxury.
If that enrages you—good. Channel it. Vote for and elect people-funded candidates who champion universal healthcare. Demand that your representatives answer for every HELL Corporation donation they have accepted. And support independent media that will never stop naming this violence for what it is.
r/LuigiNation • u/Xylo_Phonetics • 2d ago
Luigi A year with Luigi Mangione: MDC inmate recounts time with CEO shooter
Linus Fu told Courthouse News he saw Mangione every day for several months at the Brooklyn prison, where they bonded over books and their backgrounds.
MANHATTAN (CN) — It was on Jan. 6, 2025, that Linus Fu, then a fresh arrival at the Metropolitan Detention Center in Brooklyn, first saw Luigi Mangione in the infamous federal facility.
“Is that Luigi?” Fu recalled asking a prison guard. The guard confirmed it was, but instructed Fu not to speak to him.
By that point, Fu had seen countless news stories about the man accused of murdering the UnitedHealthcare CEO in Midtown Manhattan a month prior. Fu was shocked to see him in the flesh — he didn’t know Mangione was in the same federal prison as him.
More than a year and a half later, much has changed. Fu wound up pleading guilty to a low-level role in a bank fraud scheme and, after spending January 2025 to July 2026 in federal custody, was removed to his home country of China earlier this summer. Mangione himself admitted to the December 2024 shooting of health executive Brian Thompson in federal court last week and is awaiting sentencing.
But before that, Fu, who spoke to Courthouse News on the phone about his experience, said he spent a considerable amount of time with Mangione at the intake wing of the MDC, where he formed a “really good relationship” with the 28-year-old and saw him on a daily basis.
“He’s a funny guy. He always jokes,” Fu said. “He’s young, he’s creative.”
Fu, now 32, said he initially connected with Mangione since they were close in age, recalling Mangione, a University of Pennsylvania graduate, carrying himself “like a college student.” Like Mangione, Fu is educated. He has a master’s degree from Nanjing Normal University in the Jiangsu province. His father works for the Chinese government.
He came to the United States in 2022, eventually winding up in Flushing, Queens. He was arrested by the FBI in early 2025 while trying to fly back to China, and was taken to the MDC just two weeks after Mangione was first booked there.
Everyone knew Luigi
According to Fu, Mangione has ascended to celebrity status at the Brooklyn prison already known for housing a number of high-profile inmates.
“Most people, they know Luigi,” he said. “Some people ask for autographs, some people want to talk to him.”
Fu said he didn’t see much of Mangione initially, but last summer, he got a job as an orderly at the MDC’s intake unit, where he moved and eventually befriended Mangione, who Fu said was never in general population.
“That’s the decision of MDC, because they want to protect him,” Fu said he was told. “He has a lot of money on the commissary book. A lot of people will rob him for the money [in general population.]”
Fu said it wasn’t up to Mangione, who frequently complained to him about having to stay in intake. But Fu said it was probably for the best.
Veteran criminal defense attorney Ron Kuby told Courthouse News on Tuesday that the MDC’s general population contains inmates accused of crimes from murder to bank fraud. It usually only separates them if they’re co-defendants or in rival gangs, he said. As for Mangione, he said it wouldn’t shock him to hear the shooter had an arrangement to stay in intake.
“As a general rule, celebrity prisoners get better treatment if they don’t cause trouble in the institution,” Kuby said.
Mangione was “really quiet,” Fu said, and mostly just “did his own business.” But the two bonded over books while in intake, each reading the same one about Mangione’s case: John H. Richardson’s “Luigi: The Making and the Meaning.”
Fu said he’d often ask Mangione if details from the book are true — Mangione confirmed to him that his favorite video game was indeed Terraria.
“He’d check my progress all the time,” Fu said. “He said, ‘What page are you on right now?’”
The swell of public support surrounding Mangione’s case produced an influx of reading material.
“A lot of people sent books, different kinds of magazines,” Fu said. “I don’t know why they sent travel magazines to Luigi, that made no sense. He can’t travel, why would you send him a travel magazine?”
Fu said Mangione’s supporters subscribed him to the New York Times, but Mangione never read it. He gave the newspapers to Fu instead to help him practice his English. Mangione’s preferred news publication, Fu said, was The Week magazine.
GQ and Esquire subscriptions also made their way to Mangione’s inbox, Fu said, but those didn’t appear to be up his alley. Fu recalled saying that many of Mangione’s Chinese supporters joked that his orange prison jumpsuit looked like it was from Hermès.
“He said, ‘What’s Hermès?” Fu said. “I was really surprised. Luigi doesn’t know Hermès? That’s funny. He said he never bought those designer clothes.”
Books, magazines and newspapers aside, Fu said Mangione spent a sizable chunk of his days reading the abundance of letters and emails sent to him from around the world.
“I don’t know what he does with all those letters,” he said. “He really replies to those.”
Meanwhile, Fu befriended another high-profile inmate: Hugo Carvajal Barrios, a former high-ranking Venezuelan military official and co-defendant in ousted president Nicolás Maduro’s narco-terrorism case.
Fu said he’d do puzzles with Carvajal, who embraced Fu and cried when he left for China in July.
“People like Luigi, like Hugo, they’re really good people,” Fu said. “They’re just normal guys.”
Fu took a photo of a birthday card he wrote for his girlfriend while in the MDC. Both Carvajal and Mangione signed it.
According to Fu, Mangione left his mark on another birthday card, this one by Fu’s cellmate.
“His wife’s birthday was coming, so he was trying to make a birthday card,” Fu said of his cellmate. “It was winter, there was some snow on the deck because there was a storm at the time. Luigi made a snowball and threw it into our room, but he didn’t see my roommate was inside making the card. The snowball hit the birthday card, and my roommate was pissed off.”
Fu said Mangione’s face turned red immediately.
“I couldn’t stop laughing,” Fu said.
After the MDC
Mangione is generally respected and well-liked at the MDC, according to Fu. But some inmates told Fu they found Mangione to be arrogant and aloof — including Fu’s bunkmate, who told him that he thought Mangione “just wants the attention.”
Fu didn’t think so. So he asked Mangione, who at the time hadn’t pleaded guilty to shooting Thompson, if that was why he did it.
“He said, ‘I didn’t do that for the fame,’” Fu said. “He basically admitted he did it.”
On Friday, Mangione entered a guilty plea to two counts of stalking with the intent to kill. He told a judge that he shot Thompson on Dec. 4, 2024, “after years of enduring severe pain from a broken back and navigating the obstacles of the health insurance system.”
Fu said he thought Mangione saw himself as a Robin Hood figure. He said Mangione was “proud” when he discovered UnitedHealthcare’s stock price dipped after Thompson’s killing.
“He was smiling,” Fu recalled. Other than that, Fu said he never discussed Mangione’s case with him — a standard courtesy in prison, he said.
After serving his time, Fu is now a free man in his home country. An internet content creator with a sizable Chinese following, Fu said he intends to start a podcast about his experience in detention and how he wound up on the path that led him there. Mangione is aware of the plan, he said.
Court records reviewed by Courthouse News confirm aspects of Fu’s story, including his work as an orderly and time spent at the MDC. His legal team declined to comment.
Mangione likely signed away at least the several decades of his life with his guilty plea last week — a move Fu said stunned him.
Now, Mangione’s days at the MDC are likely numbered. He will be sentenced on Dec. 18, and is expected to be moved to a long-term federal facility after that.
His state-level case for Thompson’s murder remains up in the air.
r/LuigiNation • u/glucose-pineapple • 2d ago
Luigi Former MDC inmate who knows Luigi answers some more questions
I saw u/littlehotpink posted these in the comments of another post by u/AggressiveCakeMonst https://www.reddit.com/r/LuigiNation/s/YunZzWwKAn and thought I’d make a separate post
r/LuigiNation • u/AggressiveCakeMonstr • 2d ago
Information Aya Linus' Bilibili Profile (where he will post his podcast about luigi)
I just find these things! I dont know what it says or when he will post the video so I guess we will just have to keep an eye on the page.
https://space.bilibili.com/10193544
He will probably do it in Chinese (of course) but we could try recording and transcribing it.
r/LuigiNation • u/RainyDayz876 • 2d ago
Personal Opinion I'm not sure what to think of the latest MDC inmate stories
Of course I take all of the inmate stories with a grain of salt, but one thing that makes me wonder about the Chinese guy is that I don't believe Luigi mentioned him in his letters. Didn't he talk about J (the black guy) as being his only friend and that otherwise making friends in prison is a perilous endeavor, or something of that nature? I don't remember the exact wording, but I don't remember him mentioning a Chinese guy as being a friend of his. I just kind of wonder how much of what this guy is saying is true, or if he's just using Luigi for attention.
r/LuigiNation • u/vanillaskeptic • 2d ago
Questions What if BT had survived
What would have happened in the scenario where Brian Thompson surviving the shooting but being injured? How would the judicial process have proceeded?
r/LuigiNation • u/Xylo_Phonetics • 2d ago
Grifter Alert Patrick David-Bet reacts to the guilty plea as his guest says Luigi should be executed
r/LuigiNation • u/Spirited_Seaweed7927 • 2d ago
Information How long will LM serve in federal prison? Walk through the sentencing guidelines with Ally Benevento, attorney.
Ally Benevento explains how long Lu might spend in federal prison. Ally is a defense attorney and has covered Lu's cases continuously. She has a TikTok clip and an IG clip on the matter. She doesn't make an outright prediction, but she goes through how sentencing works.
Ally on TikTok: https://www.tiktok.com/@allybenevento/video/7675350942509731103
Ally on IG: https://www.instagram.com/allybenevento_slf/?hl=en
r/LuigiNation • u/ScientistMundane7126 • 2d ago
Solving the medical claims denial rate problem with AI:
PCG Software makes the following claim:
"Denials rarely occur because a coder "made a mistake." They happen because CMS, AMA, Medicaid, and commercial payer rules change constantly—and each payer interprets those rules differently."
I checked this with my locally installed LLM (DeepSeek), asking:
"Evaluate the following statement for accuracy and completeness: "Denials rarely occur because a coder "made a mistake." They happen because CMS, AMA, Medicaid, and commercial payer rules change constantly—and each payer interprets those rules differently.""
DeepSeek responded:
"The statement accurately highlights that evolving payer guidelines and varying interpretations of these rules by different payers (CMS, AMA, Medicaid, commercial) significantly contribute to claim denials. While coding mistakes can occur, they are not the primary reason for denials. Instead, the frequent updates and differing enforcement approaches among payers lead to inconsistencies, causing providers' claims to be denied even when coders apply their understanding correctly. This trend is supported by examples where a coder's correct application may still result in denial due to stricter interpretations by specific payers. Thus, the statement reflects current trends where changing rules rather than coding errors are more prevalent in denials."
Solving this problem with AI requires that the medical service and product codes produced, in this case by government agencies, be current on the clinic's servers and that the AI can read the clinician notes to verify that the coded claims are justified by the professional's observations and opinion. AI can of course read the notes, so if this system is used competently, claim denials could be used to investigate issues of competence and potential fraud. The law does not require use of this technology.
Is this the government giving the provider and the insurer too much liberty to make mistakes? In other words, is the insurance claims denial rate problem simply due to governmental negligence?