MedCity News March 7, 2025
How do we tip the scale to lower the rate of denials? While AI has been the initial decision-maker for years, it must become better trained. And to do that, it needs help.
The fewer healthcare claims that are denied, the better. Could there be a more agreeable sentiment in healthcare? Nearly 15% of all claims submitted to private payers are initially denied. In 2023, insurers of qualified health plans sold on Healthcare.gov denied 19% of in-network claims.
What can be done to start moving that needle in the right direction? Honestly, we need better AI. Hear me out!
Few things are more personal than one’s health, so when a computer algorithm run by artificial intelligence denies care,...
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