Thoughts on AI tools being used to approve or deny claims? I saw a company is using AI tools to decide what the company will and won't cover for their healthcare services...Often, these rulings go against the doctor's recommendations. Who should providers listen to? AI or healthcare providers?

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I think it would be illegal for AI to judge Doctors. AI is a great tool to tee up the information and Identify appropriate guidelines but only a specialty match Doctor or panel of Doctors should have the authority to deny care.

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Unfortunately, this is the newfound way for healthcare insurance to do business. However, you and your physician will have to fight like heck if you know something should be approved.

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That’s been in place auto adjudication for those in the biz

Theres a system thats using AI for life insurance underwriting now, I'm getting declines due to credit payment history and multi purpose meds. Bright side is instant approvals and faster sales cycle at least

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What's next after healthcare for you all?

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Has anyone left healthcare and is now really happy? I’m an MSN, RN with 12 years hospital experience. I’m burned out and tired of making crap pay. I have an opportunity outside of healthcare that would pay more and challenge me in new ways that I haven’t experienced before. It’s a total shift that would really heal my work-life balance, job satisfaction and budget. My only fear is that I would not be using the license and degree that I worked so hard for. I would appreciate any input!!!!

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When in your pregnancy did you (1) purchase life insurance and (2) have a will drawn up?

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Hi Fishes

Please please please help me with the following:

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TIA

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I got rejected for an interview from Big 4 NY Audit, even had referrals from Manager + level people. 3 years w/ audit senior at mid size firm, 2 years fed tax at big 4, and 1.5 years Internal Audit healthcare. Currently self employed for a year to work on investing. Do I literally need a partner level referral to get back into Audit? I thought there was an accountant shortage.

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Yeh CSB kya Bala hai... Koi saral tareeke se bata sakta hai kya like it's benefits and all...Impetus technologies inc

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I left my old job the end of January (due to compensation) and hate my new job. I don’t sleep and am constantly stressed. I have been interviewing since May, but I can’t seem to find a good fit that has an insurance Plan that fits my needs. I am thinking about reaching out to my old job (very small and tight knit) to see if there’s a position available for me still. They told me there would be when I left…what is the best way to go about this?

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Allied health recruiters with Atrium Health, please share your experience with the role and salary (if you don't mind)

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