Do Health Insurance Companies Use AI to Deny Claims? Six State Laws Require a Human. One Tells You.
Yes, and federal rules allow it with conditions. On September 9, 2026 we read the enacted text of six state laws on AI in coverage denials: all six require a licensed human to make a medical-necessity denial, one (Utah) requires the insurer to tell enrollees it uses AI at all, and none require your denial letter to say whether AI touched your case. Arizona’s bill banned AI by name; the law the governor signed does not contain the word.