Insurers Used a Bot to Deny Grandma's Care in 1.2 Seconds and Called It Medicine
Insurers wired AI into claim denials, and the algorithm allegedly says no faster than a human can read the file.
Here is the slice of the AI revolution the cheery keynote always skips right past. The nationβs biggest insurers wired predictive algorithms straight into their claim-denial pipelines, and a class action against UnitedHealth alleges its nH Predict model rejected nursing-home care for elderly Medicare patients with an error rate critics put near ninety percent, sometimes burning barely a second per file. Cigna caught a near-identical suit over a tool that allegedly let staff rubber-stamp thousands of denials without opening a single chart . Your f*ucking AI learned to say no faster than a human can finish reading the word claim. Bangor Daily News on AI claim denials.
Source: Bangor Daily News · Bangor Daily News
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