Doctors using AI battle with an insurance companies AI. Nobody is winning at this game.

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What happens when insurers use AI, also known as artificial intelligence to improperly deny claims and care authorizations for your medical procedures?

Frustration, unpaid claims, and long waits for approval. Single-payer healthcare and universal care is long overdue in the USA and could eliminate most of this, which is driving up the cost of care for all of us. Doctors are fighting back by using AI to write treatment requests and outsmart insurance company AI systems to get their procedures covered according to a recent article published in the NY Times.

Other doctors are throwing in the towel and joining large healthcare systems to do it, as they have neither the time, money or resources. You, the patient are losing out to better quality care and a choice of doctors as hospital systems and even healthcare companies buy their practices.

Health Insurers have lately had record profits by restricting payments using AI, reducing access to staff who would previously research improperly processed claims. Insurers are charging all of us more yearly, but do not compensate for the cost of running a healthcare office. Is it any wonder even your doctor’s office is now charging you a credit card fee to offset the high deductibles that are paid by you in their offices using a credit card?

Without the cost of living increases, as more fees are paid with high deductibles as well as higher copayments paid by credit or debit card, it adds up to huge costs for doctors’ offices.

The NY Times recently reported on how doctors are fighting back. Check out the article below.

As health plans increasingly rely on technology to deny treatment, physicians are fighting back with chatbots that synthesize research and make the case.

By Teddy Rosenbluth Published July 10, 2024

At his rehabilitation medicine practice in Illinois, Dr. Azlan Tariq typically spent seven hours a week fighting with insurance companies reluctant to pay for his patients’ treatments.

He often lost.

There was the 45-year-old man who spent five months in a wheelchair while his insurer denied appeal after appeal for a prosthetic leg. Or the stroke survivor who was rehospitalized following a fall after his insurer determined his rehab “could be done at home.”