Mandatory Human Reviews of Insurance Claim Denials

Summary

The bill would let insurers, workers’ compensation carriers, and health‑maintenance organizations use artificial‑intelligence or machine‑learning tools to help process claims, but those tools could not be the sole reason a claim is denied or reduced. A qualified human professional must independently analyze the claim, verify the AI output, and make the final decision, with required record‑keeping and disclosure to claimants. The measure seeks to increase accountability and transparency in claim handling.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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