Fiduciary Considerations Raised By the Use of AI in Group Health Plans
By EsqSocial Corporation 23/12/24
The use of artificial intelligence (AI) in the administration of group health plans is nothing new: AI has been used for a number of years to analyze data, improve risk assessment, identify fraud, and streamline claims administration. AI can automatically review and approve or deny claims based on medical codes, reducing manual processing time with the goal of improving efficiency and accuracy in claims adjudication. In some cases, plan sponsors are making AI tools that provide plan participants...
By: Morgan Lewis - ML Benefits