insurance denials

Humana, Among Other Insurers, Using AI to Deny Medically Necessary Care to Medicare Advantage Members – Despite What Appears to Be a 90% Error Rate

https://arstechnica.com/science/2023/12/humana-also-using-ai-tool-with-90-error-rate-to-deny-care-lawsuit-claims/ https://www.homecaremag.com/news/lawsuit-accuses-humana-using-ai-deny-post-acute-care For five years, I provided back office operations supports to mental health therapists. A large part of what I did consisted of trying to get insurance companies to pay for medically necessary therapy visits. Those visits included the mom… Read More ›

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