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Oliver Buchannon
Shivang Vaidya
Why I quit my six-figure job to solve medical billing

May 8, 2026

•

6 min read

Why I quit my six-figure job to solve medical billing

A note on what this newsletter is, who I am, and the quiet game insurance companies play to keep doctors and patients in the dark.

Shivang Vaidya
Shivang Vaidya
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how health insurance works in the US & how to get reimbursed

Disclaimer: preimbursed is published by Converus AI, Inc. ("Converus") for general informational and educational purposes only. Nothing in this newsletter, including any examples, scenarios, sample language, mental models, frameworks, opinions, or commentary, constitutes legal, billing, coding, compliance, medical, clinical, regulatory, tax, financial, investment, or insurance advice, and nothing here should be relied upon as such. Reading, subscribing to, replying to, or otherwise engaging with preimbursed does not create a client, patient, attorney-client, advisory, fiduciary, consulting, or other professional relationship between you and the author, Converus, or any of its officers, employees, contractors, or affiliates. No confidentiality attaches to communications sent in reply to this newsletter. For any decision about your specific situation, including but not limited to a claim, denial, appeal, prior authorization, coverage determination, billing dispute, compliance question, employment matter, or medical or care decision, consult a qualified, licensed professional in the relevant jurisdiction. Views expressed are solely those of the author at the time of writing and do not represent the views of any payer, health plan, provider, laboratory, employer, regulator, government agency, professional association, investor, customer, partner, or other third party referenced, named, or alluded to. References to specific payer policies, codes, regulations, court decisions, or company practices are based on publicly available sources believed accurate as of publication; preimbursed makes no representation or warranty as to accuracy, completeness, currency, or fitness for any particular purpose. Health insurance rules, payer policies, codes, and regulations change frequently and vary by plan, state, and individual circumstances. Verify current rules with the relevant payer, regulator, or qualified professional before acting. Examples, case studies, and scenarios are illustrative composites or based on publicly available information. They are not advice and do not reflect the specific facts of any real patient, claim, provider, or payer matter. Any resemblance to a specific real-world matter is coincidental or based solely on public sources. preimbursed does not knowingly collect, request, store, share, or publish protected health information (PHI) as defined under HIPAA. Do not send PHI in replies. Any PHI inadvertently received will be deleted; sending PHI does not create a HIPAA Business Associate relationship. To the maximum extent permitted by law, Converus and the author disclaim all liability for any loss, damage, or harm arising from reliance on or use of any content in preimbursed. Read it, but don't rely on it as a substitute for professional advice. All use of and reliance on this newsletter is at the reader's sole risk.

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