Committee hears proposal to require disclosure when AI alters health billing codes

Representative Aaron Nathanson and committee staff described reports from health care providers that insurers may be using automated tools to alter submitted billing codes — a practice described in the meeting as "downcoding" — without notifying the provider. "I wrote this, but it was changed into something else… The claim was just changed, changed by not a human, changed by an AI program," Nathanson said, arguing the committee should consider drafting a disclosure requirement and an appeals process.