UnitedHealth uses AI model with 90% error rate to deny care, lawsuit alleges
arstechnica.com
For the largest health insurer in the US, AI's error rate is like a feature, not a bug.

UnitedHealth uses AI model with 90% error rate to deny care, lawsuit alleges | For the largest health insurer in the US, AI’s error rate is like a feature, not a bug::For the largest health insurer in the US, AI’s error rate is like a feature, not a bug.

  • pdxfed@lemmy.worldEnglish
    19·
    1 year ago

    The idea that when you’re overbilled or misbilled, if it IS caught, all the insurerer will do (if you’re lucky) is correct it. This gives them no incentive to actually not do it again.

    As you said, expected and completely predictable behavior.

    • BrianTheeBiscuiteer@lemmy.worldEnglish
      9·
      1 year ago

      Not just the insurer. I’ve had a few hospitals and doctors file claims that the insurer rejected because they didn’t follow the right process or use the right code. A few times I couldn’t get the provider to refile and I had to make up for their incompetence (i.e. paid the full amount out of pocket). For all the times I did get them to correct their mistakes I didn’t get any kind of discount or credit.