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by sorcerer-mar 323 days ago
Here’s how this is working in practice:

There’s a fast-growing cottage industry of companies using AI to figure out how to bill insurers “better”

And there’s a fast-growing cottage industry of companies using AI to figure out how to deny claims “better”

I see no reason to expect improvements to the patient or provider experience from this. A lot more money spent though!

1 comments

It will be an interesting arms race. The real losers will be the human individuals, not insurers, who will have to contend with an AI when disputing claims. I have little faith that the prompt will encourage fair interpretation of (sometimes deliberately) ambiguous rules.