Proof is what the lawsuit is for.
Comment on Humana also using AI tool with 90% error rate to deny care, lawsuit claims
Daxtron2@startrek.website 6 months ago
Is there proof of this? My mom works for Humana doing LTC and neither she or the medical directors she forwards cases to use this tool?
lolcatnip@reddthat.com 6 months ago
Cheers@sh.itjust.works 6 months ago
It’s probably on claim submission.
My company operates as an LTC pharmacy. We pay for every claim submission whether reject or success.
I was on the phone the other day with my pharmacy (optum) and they did a “test” claim which was free for them. I know optum owns the pharmacy, insurance, and pbm, but either their abusive their vertical integration or they have an “ai” to test claims.