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> The job of health insurance is to vet and deny claims. It would be nice if they did that consistently and fairly, but they don’t. Using an AI to review and
by quickthrowman 2y ago
> The job of health insurance is to vet and deny claims.
It would be nice if they did that consistently and fairly, but they don’t.
Using an AI to review and deny claims with a (claimed) 90% error rate or denying claims without reading them is not vetting, it’s straight up negligence and fraud.
https://arstechnica.com/health/2023/11/ai-with-90-error-rate-forces-elderly-out-of-rehab-nursing-homes-suit-claims/ https://arstechnica.com/health/2023/11/ai-with-90-error-rate...
https://www.propublica.org/article/cigna-pxdx-medical-health-insurance-rejection-claims https://www.propublica.org/article/cigna-pxdx-medical-health...