this post was submitted on 01 Sep 2024
412 points (96.2% liked)

Health - Resources and discussion for everything health-related

2321 readers
290 users here now

Health: physical and mental, individual and public.

Discussions, issues, resources, news, everything.

See the pinned post for a long list of other communities dedicated to health or specific diagnoses. The list is continuously updated.

Nothing here shall be taken as medical or any other kind of professional advice.

Commercial advertising is considered spam and not allowed. If you're not sure, contact mods to ask beforehand.

Linked videos without original description context by OP to initiate healthy, constructive discussions will be removed.

Regular rules of lemmy.world apply. Be civil.

founded 1 year ago
MODERATORS
 

"... The “dirty secret” of the insurance industry is that most denials can be successfully appealed..."

you are viewing a single comment's thread
view the rest of the comments
[–] [email protected] 55 points 2 months ago (3 children)

Interesting idea, but I imagine it suffers from similar issues to writing legal opinions: by signing your name to it, you're swearing that it's all true. Given AI's propensity for making things up, you need to check everything.

I wouldn't be surprised if 'knowingly filing a false appeal' is a reason to boot you off the plan in the first place.

[–] [email protected] 27 points 2 months ago (1 children)

It's still a lot easier to review and understand something you weren't able to write than to also write that same thing without knowing how to write it.

[–] [email protected] 1 points 2 months ago

Indeed. Just need to remember that AI can and will hallucinate entire studies or court cases into existence.

[–] [email protected] 4 points 2 months ago (1 children)

I wouldn’t be surprised if ‘knowingly filing a false appeal’ is a reason to boot you off the plan in the first place.

For that to be an issue you would have to "know" it was false.

[–] [email protected] 8 points 2 months ago (2 children)

You signed it, verifying that you knew what it entailed. That's what the comment was pointing out.

[–] [email protected] 6 points 2 months ago* (last edited 2 months ago) (1 children)

Usually when signing things off like this, it's affirming that you believe all statements to be true. They would have to prove you willingly lied, not that you were simply wrong, which is very difficult to prove legally.

That said, IANAL.

[–] [email protected] 2 points 2 months ago (1 children)

'Reckless disregard for the truth' shows up sometimes, especially in e.g. defamation.

If the AI cites some legal case from 2015 or a random medical article, you probably need to ensure that those articles actually exist, and not simply assume that the AI is right.

If the AI said that a month's supply of Fentanyl is the recommended treatment for a headache, no reasonable person is going to believe it. That means that if you say that you believe that, the court isn't going to consider you a reasonable person.

IANAL either.

[–] [email protected] 1 points 2 months ago

Hah true, true. If you don't read the output at all and do the most minimal of research, that's on you for sure.

Now excuse me while I pop some Fent, my head is killing me.

[–] [email protected] 3 points 2 months ago (2 children)

What's the legal code if you THINK something is true and you affirm it, but you are wrong. It can't be the same as lying since you thought it was true.

I really wonder what the law says on something like that.

[–] [email protected] 1 points 2 months ago

'Reckless disregard for the truth' shows up sometimes, especially in e.g. defamation.

If the AI cites some legal case from 2015 or a random medical article, you probably need to ensure that those articles actually exist, and not simply assume that the AI is right.

If the AI said that a month's supply of Fentanyl is the recommended treatment for a headache, no reasonable person is going to believe it. That means that if you say that you believe that, the court isn't going to consider you a reasonable person.

[–] [email protected] 1 points 2 months ago

At least for something to be perjury there usually has to be "mens rea" (guilty mind).

[–] [email protected] 1 points 2 months ago

I think when you use AI to write the claim and there turn it to be errors even after you checked it, it could still be a case of negligence. Like, not that I think it necessarily should be, but I can see that one could make the argument.