Health Insurance News Hospitals Are Reporting More Insurance Denials Is Ai Driving Them

The Unexpected Way AI Is Helping Appeal Health Insurance Denials

According to data from KFF, 20% of all claims across Affordable Care Act marketplace plans were denied in 2023. ACA plans covered more than 20 million Americans at the start of 2025. Audits have found ... Read More

Power to the Patients: AI for Fighting Insurance Denials

Managed Healthcare Executive gives C-suite executives in health plans and provider organizations news and strategies for value-driven solutions. Read More

Health insurance denials aired in region

Exorbitant out-of-pocket costs, outright claim denials, even AI-bot responses are just a few of the pain points for healthcare providers and patients trying to access healthcare insurance in the South ... Read More

How AI is helping patients fight back against denied health insurance claims

Patients who are denied health treatments are turning to an AI program that can help appeal the decisions, and some are getting positive results. Read More

Philadelphia area woman believes AI helped her fight health insurance denial

When a Delaware County woman said her health insurance suddenly cut off coverage for critical medication, she turned to an unlikely source for help. Read More

Insurance company repeatedly denied her medical claim, then AI delivered victory

Health insurance giant Anthem wanted $1,800 from Lauren Gonzalves for hospital nursery services after the birth of her son. But it had been two years since the Concord mother gave birth, she had ... Read More

Private health insurers use AI to approve or deny care. Soon Medicare will, too.

A pilot program testing the use of artificial intelligence to expand prior authorization decisions in Medicare has providers, politicians and researchers asking questions. Read More

Insurance laws will protect us from AI decision making, experts tell panel

Insurance companies will always be held responsible for any decisions made with help from artificial intelligence even as the technology becomes more widely adopted and may someday be used to pay ... Read More

Insurance company repeatedly denied Concord woman’s medical claim, then AI delivered victory

A correction to an earlier version of this article has been appended to the end of the article. Health insurance giant Anthem wanted $1,800 from Lauren Gonzalves for hospital nursery services after ... Read More

Insurance company repeatedly denied Concord woman's medical claim, then AI delivered victory

Sep. 12—A correction to an earlier version of this article has been appended to the end of the article. Health insurance giant Anthem wanted $1,800 from Lauren Gonzalves for hospital nursery services ... Read More