This is true. It's RAINMAKER in real life. Watch that movie and you will understand what trump is doing to you with traditional Medicare and HMO Medicare plans. It's not AI its a series of edits set up in the software to deny services based on the billed codes - CPT codes or diagnosis - DX codes.
When billed together or in an dr office known as a place of service - POS. The edits will deny specific codes unless a prior authorization - PA is obtained. Reg Medicare NEVER had PA requirements. HMO's have always had PA requirements.
It's another layer for the consumer - mainly old folks will have to navigate. This is exactly what HMO's do to make $. Medicare will do it to SAVE $ off of the backs of old folks. I bet many of them voted for this piece of shit. You'll soon have to navigate through this. It will AFFECT YOU!