New York S10241 amends insurance law to regulate the use of artificial intelligence by insurers and clinical peer reviewers in utilization review.
New York S10241 amends the insurance law to regulate the use of artificial intelligence by insurers and clinical peer reviewers in the utilization review process. Insurers must disclose the use of artificial intelligence-based algorithms to insureds and enrollees, and provide detailed information on adverse determinations. Clinical peer reviewers must attest to their expertise and lack of conflicts of interest before issuing adverse determinations.
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