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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]
A UnitedHealthcare letter is shown. UnitedHealth Group is being sued for allegedly using an artificial intelligence algorithm to systematically deny elderly patients rehabilitative care.
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Health Care Service Corporation (HCSC), a Mutual Legal Reserve Company, is a member-owned health insurance company in the United States. HCSC was formerly known as Hospital Service Corporation and changed its name to Health Care Service Corporation in 1975.
Wolf rejected Optum's request and allowed Smith's, putting court proceedings on hold until the arbitration process is complete. [ 31 ] The case garnered media attention as setting a precedent in trade secret litigation ahead of an anticipated wave of vertical integration in the healthcare industry [ 32 ] and for uncovering previously unknown ...
UnitedHealthcare Pro Cycling Team (UCI identifier: UHC) was a professional road bicycle racing team, run by Momentum Sports Group and based in the United States. The team is sponsored principally by UnitedHealth Group .
A recent move as of December 1, 2009, implemented a "simplified reimbursement scheme" wherein 95% of the amount of the claim is reimbursed after a rapid assessment of member and provider eligibility and the remaining 25% follows after detailed review of the claims.
Hypoosmolar hyponatremia is a condition where hyponatremia is associated with a low plasma osmolality. [1] The term "hypotonic hyponatremia" is also sometimes used.[2]When the plasma osmolarity is low, the extracellular fluid volume status may be in one of three states: low volume, normal volume, or high volume.