Bronx Times Opinion | Montefiore just replaced nurses with AI, that’s not good for patients

Insurance companies deny claims all day long. They’ll deny doctor-ordered surgeries, medical stays, scans, and weeks of rehab patients need to walk again. Most people read a denial letter and assume it is final.The reason it’s not is utilization management nurses. When a denial comes in, we read a patient’s chart, compare it to clinical criteria, and write the case for why the care should be covered. Our patients don’t generally know how it happens, they just know they ge