Computerworld July 29, 2024
Physicians are pushing back against automatic denials from healthcare insurance providers by allowing AI tools to write their appeals.
Doctors facing an onslaught of AI-generated patient care denials from insurance companies are fighting back — and they’re using the same technology to automate their appeals.
Prior authorization, where doctors must get permission from insurance companies before providing a medical service, has become “a nightmare,” according to experts. Now, it’s becoming an AI arms race.
“And, who loses? Yup, patients,” said Dr. Ashish Kumar Jha, dean of the School of Public Health at Brown University. More often than not, clinicians have historically simply given up once their appeals are denied.
Jha, who is also a professor of Health Services, Policy and...
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