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To: Les H who wrote (39155)	11/5/2023 8:46:00 AM
From: Les H	Read Replies (1) \| Respond to of 51031

'This Should Be a National Scandal': For-Profit Medicare Advantage Plans Using AI for Denials "They're using AI to predict when to cut off payment for treatments," said one watchdog group. "We repeat, AI. Not a doctor." BRETT WILKINS Nov 03, 2023 commondreams.org "Comparing "guidance" generated by AI and algorithmic tools with actual MA coverage decisions;" Probably will get similar results since their reps have to enter referrals into a system to check whether they can authorize a treatment and one of the rules is how much the company budgets for the procedure.