I was in medical billing about 20 years ago, specifically working to get ambulance billing paid by United Healthcare, Blue Cross, whatever. at that time I hated united slightly more than the VA. the VA was a year behind on payment, and they sent a lump check with the list of what it covered separate. but at least they kept track and paid.

we had to take United Healthcare to the insurance commissioner because their process was deny, then lose the claim, then deny for late billing.

instead of responding to the insurance commissioner or providing the requested docs or anything, they waited it out, paid the fine, paid the specific claims, and continued as usual.

so yeah. AI working the way they trained it.

Nonsense.

It’s most likely just a ~linear regression~ random forest model trained with the loss function of sum((y - y_hat)^2 * cost)

I have that basic prediction tools are “AI” And they definitely were in 2019.

So why not be concerned with those in power? Why choose the low hanging fruit when the tree is infected? They do these things with a multitude of technologies and other people not just AI. Just my 2c

It’s not the AI I’m concerned about, it’s the companies that are using it without fully understanding how it works and how to implement it properly. They are just throwing it to the wind.