this post was submitted on 17 Nov 2023
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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 (arstechnica.com)
submitted 11 months ago by [email protected] to c/[email protected]
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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.

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[โ€“] [email protected] 19 points 11 months ago (1 children)

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.

[โ€“] [email protected] 10 points 11 months 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.