The AI model, nH Predict, is the focus of another lawsuit against UnitedHealth.

Humana also using AI tool with 90% error rate to deny care, lawsuit claims::The AI model, nH Predict, is the focus of another lawsuit against UnitedHealth.

  • Daxtron2@startrek.websiteEnglish
    51·
    11 months ago

    Is there proof of this? My mom works for Humana doing LTC and neither she or the medical directors she forwards cases to use this tool?

    • Cheers@sh.itjust.worksEnglish
      7·
      11 months ago

      It’s probably on claim submission.

      My company operates as an LTC pharmacy. We pay for every claim submission whether reject or success.

      I was on the phone the other day with my pharmacy (optum) and they did a “test” claim which was free for them. I know optum owns the pharmacy, insurance, and pbm, but either their abusive their vertical integration or they have an “ai” to test claims.