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by dpflan 524 days ago
Interesting. Do you have any examples to share?
2 comments
mancharface1 524 days ago
Agree. I'd love to see an example of this, or read more about it.
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starkparker 524 days ago
This piqued my interest too. I found a few adjacent papers but couldn't find a source that made as comprehensive of a claim.

The closest were:

- "In constant battle with insurers, doctors reach for a cudgel: AI" from NYT (via Salt Lake Tribune), 2024 July, which is mostly on doctors using law-compliant LLMs to draft prior authorizations and has a passing one-graf mention of insurers likely doing the same: https://www.sltrib.com/news/nation-world/2024/07/11/constant...

- "The AI arms race over your medical bill" from Politico, 2024 Jan., summarizing LLM use in coding, billing, and fraud prevention: https://www.politico.com/newsletters/future-pulse/2024/01/05..., linking to https://www.politico.com/news/2023/12/31/ai-medical-expenses... and https://govciomedia.com/how-health-tech-leaders-use-ai-to-co...

Aside from that:

"Large Language Models to Help Appeal Denied Radiotherapy Services" from JCO Clinical Cancer Information, 2024 Sept. (abstract only; full-text paywalled) https://pubmed.ncbi.nlm.nih.gov/39250740/

"The potential of large language models in the insurance sector", 2024 Feb. (commercial white paper), largely focused on "fraud detection" in claims: https://www.milliman.com/en/insight/potential-of-large-langu...

"IQVIA NLP Risk Adjustment Solution (undated commercial white paper), marketing pitch on using AI to improve coding accuracy and reduce chart review times: https://www.iqvia.com/-/media/iqvia/pdfs/library/fact-sheets...

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