There a former Cigna doctor says “It takes all of 10 seconds to do 50 at a time.”
They claim to have seen documents for a two month period that put the average at 1.2 seconds per review. That’s using a specific review system that processed 300,000 claims over that period.
They don’t mention if there were other claims processed with different methods but still, the OP article seemed to be generous with that claim.
I don’t know what the “90%-error-rate AI” claim is about though. It’d be nice if the sources were actually cited.
I didn’t recognise the ‘10 seconds of human consideration’ claim. I found this ProPublica report on it: How Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them
There a former Cigna doctor says “It takes all of 10 seconds to do 50 at a time.” They claim to have seen documents for a two month period that put the average at 1.2 seconds per review. That’s using a specific review system that processed 300,000 claims over that period.
They don’t mention if there were other claims processed with different methods but still, the OP article seemed to be generous with that claim.
I don’t know what the “90%-error-rate AI” claim is about though. It’d be nice if the sources were actually cited.
https://arstechnica.com/health/2023/11/ai-with-90-error-rate-forces-elderly-out-of-rehab-nursing-homes-suit-claims/