Health Insurance - Use of Artificial Intelligence - Human Evaluation

Summary

Requiring that certain audits and compliance reviews of an artificial intelligence, algorithm, or other software tool used for utilization review include a certain evaluation by a licensed health care professional; and requiring that the review and revision of the performance, use, and outcomes of an artificial intelligence, algorithm, or other software tool used for utilization review include a certain human evaluation and use of the findings of the evaluation for a certain purpose.