> Though few patients appeal coverage denials generally, when UnitedHealth members appeal denials based on nH Predict estimates—through internal appeals process

> Though few patients appeal coverage denials generally, when UnitedHealth members appeal denials based on nH Predict estimates—through internal appeals processes or through the federal Administrative Law Judge proceedings—over 90 percent of the denials are reversed, the lawsuit claims. That's the power of system defaults. Make "No" the default response, regardless of the validity of the request, and there's a good chance patients that are trying to manage the logistics of appointments, prescriptions and treatments will simply give up. AI will be used to hold up these existing practices; when glittering visions of lowered healthcare costs are trotted out by the op-ed writers and techno-optimists, this is really how that sausage is being made.