AI Is Denying Your Insurance Claims More Often

Insurance companies are increasingly using AI to handle claims decisions, with 84% of health insurers now deploying the technology and 68% using it for prior authorization approvals. Critics warn the systems are inaccurate, and UnitedHealth faces a class-action lawsuit alleging AI-denied Medicare care contributed to patient deaths. Legislative efforts to require human review of AI denials have stalled, and a Trump executive order discourages state-level AI regulations. Most patients don't appeal rejections due to the exhausting process—an outcome that benefits insurers. Nonprofits like Counterforce Health now offer free AI tools to help patients fight back.