Arizonans are no strangers to a problematic insurance claim system plaguing patients in the state. Health companies have been using computer systems for automated insurance claim denials.

A new law recently signed by Democratic Gov. Katie Hobbs will soon make this practice illegal, instead requiring physicians, not computers, to review automated insurance claim denials.

House Bill 2175 requires a physician licensed in the state to conduct an “individual review” and use “independent medical judgment” to determine whether the claim should be denied or revised. This requirement makes a lot of sense. Any time care is denied, it should come from a physician who knows and can speak with the patient. With artificial intelligence on the rise, however, the human connection is being taken out of many practices and patients are suffering as a result.

AI has the potential to positively facilitate healthcare delivery, but it should never entirely replace the expert judgment of physicians. It cannot fully take into account a patient’s unique medical history or needs and is always vulnerable to misuse. Not taking this sensitive information into consideration can lead to automated insurance claim denials.

At Solidarity HealthShare, we believe that patients should have human connection and real oversight when it comes to their medical decisions, especially life-altering ones. 

Given Solidarity’s Arizonan roots, we are overjoyed to see that providers will be required to offer the same care, attention, and oversight to their patients as we promote.

To learn more about how Solidarity can help you and your loved ones access top-quality medical care at a low price point, call us at 737-SHARING.