Did a bot deny your claim? NC lawmakers want to regulate AI in health insurance :: WRAL.com
Did a bot deny your claim? NC lawmakers want to regulate AI in health insurance :: WRAL.com
Publish Date: 2026-05-21 17:12:00
Source Domain: www.wral.com
- North Carolina Republican lawmakers are proposing House Bill 565 to limit artificial intelligence (AI) use in healthcare, aiming to prevent increased bills and denied claims.
- The bill seeks to prohibit insurers from using AI as the sole basis for denying claims, ensuring human involvement in those decisions.
- The legislation aims to address “upcoding,” a practice where AI could potentially recommend higher billing codes unintentionally, inflating profits for providers and increasing overall healthcare costs.
- Concern is also raised about potential racial biases in AI algorithms, highlighting the need for human oversight in medical decisions.
- While AI use in healthcare is rapidly expanding nationwide, the North Carolina Healthcare Association expresses concern that the bill could limit beneficial technology use in patient care.
- The bill reflects a broader national movement to retain human involvement in healthcare and insurance billing decisions amidst AI’s rise.
- Debates highlight the need for balance, enforceability, and stakeholder involvement in shaping AI legislation in healthcare.
