this post was submitted on 03 Sep 2025
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[–] traceur301@lemmy.blahaj.zone 5 points 16 hours ago (1 children)

Taking claim validity away from the doctor that's actually in charge of the patient's care is already fucked. AI cost cutting doesn't belong in medicine full stop. It shouldn't be a for-profit "industry" in the first place. We're so fucked nobody can even think about this without insane, anti-human framing coloring everything

[–] humanspiral@lemmy.ca 3 points 16 hours ago

Private medical insurance is corrupt as starting point. A public health insurance/payer system can still be subject to ineligible or fraudulent claims. Every medical provider demand for money automatically accepted is not the perfect model either. Systems, AI or not, should avoid improper denials is a standard only possible in public health systems.