The AI model, nH Predict, is the focus of another lawsuit against UnitedHealth.

Humana also using AI tool with 90% error rate to deny care, lawsuit claims::The AI model, nH Predict, is the focus of another lawsuit against UnitedHealth.

  • @CheersEnglish
    7•6 months ago

    It’s probably on claim submission.

    My company operates as an LTC pharmacy. We pay for every claim submission whether reject or success.

    I was on the phone the other day with my pharmacy (optum) and they did a “test” claim which was free for them. I know optum owns the pharmacy, insurance, and pbm, but either their abusive their vertical integration or they have an “ai” to test claims.