Welcome to DU! The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards. Join the community: Create a free account Support DU (and get rid of ads!): Become a Star Member Latest Breaking News Editorials & Other Articles General Discussion The DU Lounge All Forums Issue Forums Culture Forums Alliance Forums Region Forums Support Forums Help & Search

General Discussion

Silent Type

(10,490 posts)

3. What I'm saying is that AI is just a new name for what government programs and private insurers

Reply to usonian (Reply #2)

Mon Jan 6, 2025, 02:18 AM

Jan 2025

have done for 50+ years— Identify claims that need to be looked at closer. I don’t believe the “AI” reviews are based upon anything different, it’s just scary.

Do think our government ought to require reports of denials, disposition, corrective regs, impose sanctions for improper denials, etc.

Edit history

Please sign in to view edit histories.

Recommendations

1 members have recommended this reply (displayed in chronological order):

KT2000

3 replies

= new reply since forum marked as read

Highlight:

New California law prohibits using AI as (sole) basis to deny insurance claims [View all] usonian Jan 2025 OP

So, would that mean that Medicare can no longer deny claims for non-covered diagnoses, questionable services, Silent Type Jan 2025 #1

AFAICT, it only applies to AI assisted decisions. usonian Jan 2025 #2

What I'm saying is that AI is just a new name for what government programs and private insurers Silent Type Jan 2025 #3