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Will AI fix prior authorization—or make it worse?

theoretically expedited claims The government is piloting a program that uses AI for insurance-coverage decisions. If you’re like me, you or a loved one has struggled through the process of gaining pre-approval for the medical care that your physician has recommended. Personal stories abound regarding the tribulations of patients as they go through hoops to get their health insurer to pay for certain prescription medications, medical procedures, and more. When used judiciously, this process—know...

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