Prior Authorization Is Where Health AI Gets Tested
How health insurers use AI in prior authorization, claims adjudication, and risk adjustment. What the NAIC, CMS, and recent litigation mean for governance.
Health insurance
AI across health insurance: prior authorization, utilization review, claims, and the state and federal scrutiny that follows them.
AI Use Cases in Insurance by Business Line →Guides & analysis
AI in Health Insurance and Who Governs It
A map of AI in health insurance: plan and jurisdiction differences, high-stakes workflows, and the right guide for prior authorization, claims, and risk adjustment.
What Regulators Test in AI Underwriting
How AI in underwriting works across P&C, life, and health lines, what the NAIC evaluation tool expects, and how to prove your models are fair and traceable.
UnitedHealth AI Governance and the nH Predict Case
A sourced UnitedHealth AI governance case study on the unresolved nH Predict dispute, prior authorization data, and the limits of the public record.