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Home/AI Incident Database/Length of Stay False Diagnosis Cut Off Insurer's Payment for Treatment of Elderly Woman

Length of Stay False Diagnosis Cut Off Insurer's Payment for Treatment of Elderly Woman

An elderly Wisconsin woman was algorithmically determined to have a rapid recovery, an output which the insurer based on to cut off payment for her treatment despite medical notes showing her still experiencing debilitating pain.

Severity: MediumAi Enabled Decision Support SystemsLack of capability or robustness

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