Responsible artificial intelligence in healthcare: Predicting and preventing insurance claim denials for economic and social wellbeing

M Johnson, A Albizri, A Harfouche - Information Systems Frontiers, 2023 - Springer
It is estimated that one out of seven health insurance claims is rejected in the US; hospitals
across the country lose approximately $262 billion annually due to denied claims. This …

Exploiting Machine Learning Bias: Predicting Medical Denials

S Russell, FM Suros, A Kumar - Proceedings of the AAAI Symposium …, 2024 - ojs.aaai.org
For a large healthcare system, ignoring costs associated with managing the patient
encounter denial process (staffing, contracts, etc.), total denial-related amounts can be more …