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AI Increases Health Claim Denials, Patients Fight Back

11/23/2025

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Summary

Story summary

Health insurers in the United States increasingly use artificial intelligence to process claims, driving a rise in claim denials.
In 2023, about 73 million Americans on Affordable Care Act plans had in-network service claims denied, with fewer than 1% appealing.
To counter this, AI is being used to help patients challenge these denials.
Ali Rogin interviews Jennifer Oliva, Indiana University law professor, for further insights.

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Story summary

Health insurers in the United States increasingly use artificial intelligence to process claims, driving a rise in claim denials.
In 2023, about 73 million Americans on Affordable Care Act plans had in-network service claims denied, with fewer than 1% appealing.
To counter this, AI is being used to help patients challenge these denials.
Ali Rogin interviews Jennifer Oliva, Indiana University law professor, for further insights.