That I don't know, but it wouldn't surprise me if UHC were using AI for that purpose. However, they really cannot deny coverage for procedures, etc. that they are contracted to cover. Meaning, sure, they could initially deny coverage then blame it on the Artificial Intelligence being "faulty" (or using some other excuse), but they would have to eventually go back and reverse the denials if they are contractually obligated to pay them in the first place. Does that make sense? Perhaps it was/is their business model to deny coverage then dispute it (if customers have the appetite to fight with them), then ultimate cover it if customers' lawyers get involved. If that's the way they operate, then it's shady as heck! Sadly, most people do not have the wherewithal (whether that be time, money, patience, or mental capacity) to argue with a gigantic insurance company. All insurance is a scam, IMO.Its alleged that unitedhealthcare was using an ai system that was denying claims that should've been approved. You are right about the level of coverage, however the main issue seems to be that the insurance company was refusing to cover things that they were supposed to.
Please correct me if im wrong