Doctors weaponize AI in insurance battles over patient care authorizations

AI-generated patient care denials from insurance companies are using the same technology to automate their appeals.

Prior authorization has been a major issue for decades , but only recently has AI been used to create batch denials.

The denials force physicians to spend hours each week challenging them on behalf of their patients.

Last year , the company surveyed about 500 clinicians who were piloting the platform and found it could save them 12 to 13 hours a week in administrative work.

Some legislators feel the solution is to ban the use of AI for prior authorization assessments, but experts say they don't see AI as the fundamental problem.

Most healthcare organizations are acting as slow followers in deploying AI because of potential risks, such as security and data privacy risks.

Physicians are only beginning to use it now, but those who do have become a very vocal minority in praising its benefits.

In other words, its use shouldn't be over regulated before physicians, who are already wary of the technology, can fully grasp its potential benefits.