New AI tool counters health insurance denials decided by automated algorithms

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The story "New AI tool counters health insurance denials decided by automated algorithms" was covered 2 days ago by The Guardian, a news publisher based in United Kingdom.

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The Guardian 2d ago

New AI tool counters health insurance denials decided by automated algorithms - The Guardian

Quick Summary:

Class-action lawsuits allege algorithms turn down claims in seconds and critics say reform is needed for lasting changeInsurance coverage denials have risen in recent years in the US, driven in part by automated algorithms powered by AI – and some recently launched artificial intelligence tools may fight back by generating automatic appeals.

But to see more lasting change, health experts say that the health insurance system needs greater reform to control high prices and ensure coverage.Continue reading...

But this time, the insurance company denied coverage for the entire visit – nearly $5,000, according to a denial letter reviewed by the Guardian.