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Texas Senate Bill 815 Aims to Ban AI in Health Insurance Claims

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    • Michele Rayes, a patient advocate, shared her experience with claim denials, stating, Each situation, whether it be a drug, MRI, anything, needs to be taken on a case-by-case basis.1
    • Senator Charles Schwertner's Senate Bill 815 aims to ban health insurers from using artificial intelligence to solely deny, modify, or delay claims.2
    • Senator Schwertner expressed concerns that insurers are deploying artificial intelligence focused on their bottom line, in my opinion over patient wellbeing.1
    • The Texas Medical Association supports the bill, arguing it could help prevent down-coding, where insurers do not pay for care supported by a patient's doctor.1
  • Michele Rayes, a patient advocate, emphasized that each situation regarding claim denials should be evaluated case-by-case.
  • Senator Charles Schwertner introduced Senate Bill 815 to ban health insurers from using artificial intelligence to deny, modify, or delay claims.
  • The Texas Medical Association supports the bill, stating it could help prevent down-coding by insurers.

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