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nH Predict is a computer program developed by naviHealth that implements an algorithm that has allegedly been used by health insurance companies including United Healthcare and Humana [1] [2] to automatically deny coverage to patients. [3] [4] [5] It is reported to work by cross-correlating patient health records with those of other patients. [6]
In 1982, after much work and debate, the UB-82 emerged as the endorsed national uniform bill. After an 8-year moratorium on change, the UB-82 was replaced by UB-92, and became the standard for billing paper institutional medical claims in the United States, until creation of the UB-04.
A UnitedHealthcare letter is shown. UnitedHealth Group is being sued for allegedly using an artificial intelligence algorithm to systematically deny elderly patients rehabilitative care.
It originally processed claims for doctors at the Hennepin County Medical Society. [5] UnitedHealthcare Corporation was founded in 1977 to purchase Charter Med and create a network-based health plan for seniors. [6] It became a publicly traded company in 1984 and changed its name to UnitedHealth Group in 1998. [7]
The Kelsey-Seybold Clinic is a large multi-specialty clinic system located in Greater Houston with its administrative headquarters in Shadow Creek Ranch, Pearland.The clinic system is a major provider of healthcare for NASA and a center for healthcare research.
This image or media file may be available on the Wikimedia Commons as File:UnitedHealthcare (logo).svg, where categories and captions may be viewed. While the license of this file may be compliant with the Wikimedia Commons, an editor has requested that the local copy be kept too.