Here’s how this is working in practice:

There’s a fast-growing cottage industry of companies using AI to figure out how to bill insurers “better”

And there’s a fast-growing cottage industry of companies using AI to figure out how to deny claims “better”

I see no reason to expect improvements to the patient or provider experience from this. A lot more money spent though!

It will be an interesting arms race. The real losers will be the human individuals, not insurers, who will have to contend with an AI when disputing claims. I have little faith that the prompt will encourage fair interpretation of (sometimes deliberately) ambiguous rules.