Live demonstration · Health insurance
Do you want an algorithm — or a doctor — deciding your care is over?
An AI utilization model reviewed the chart and recommended a denial. But a coverage denial is a medical determination the rules reserve for a licensed physician.
A hospital wants the plan to pay for 3 more inpatient days. The AI review of the chart says the patient has recovered, so the model recommends a denial.
A denial is an adverse medical-necessity determination. The rules say a real, licensed doctor has to make that call and put their name on it.
You'll be asked for a device passkey, such as Touch ID — that's how we prove a real person signed.
Why a human must sign: Insurance and managed-care rules require a licensed physician — not an algorithm — to sign any decision that denies medically necessary care.