Florida H0527 mandates human reviews for insurance claim denials, prohibiting sole reliance on algorithms or AI.

Florida H0527 establishes requirements for insurers to ensure human oversight in the denial of insurance claims. Insurers must have a qualified human professional analyze claims independently of any artificial intelligence or machine learning systems. Denial communications must identify the human professional who made the decision and affirm that no algorithm, AI, or machine learning system was the sole basis for the denial. Insurers must also maintain records of these decisions and reviews.

Florida H0527 mandates human reviews for insurance claim denials, prohibiting sole reliance on algorithms or AI.

Florida H0527 establishes requirements for insurers to ensure human oversight in the denial of insurance claims. Insurers must have a qualified human professional analyze claims independently of any artificial intelligence or machine learning systems. Denial communications must identify the human professional who made the decision and affirm that no algorithm, AI, or machine learning system was the sole basis for the denial. Insurers must also maintain records of these decisions and reviews.