Medicare is using AI to approve claims. The result has been ‘alarmingly high denial rates.’

A pilot program using artificial intelligence to approve care for Medicare beneficiaries has resulted in high denial rates and delayed decisions, according to a lawsuit seeking information about the program. A vendor involved in the program issued warnings about a lack of readiness, the lawsuit states. The details of the denial rates, timeline for delays, and specific vendor concerns are contained in court filings seeking disclosure of program records.

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