Luigi Mangione

This is how it should be done. As long as a claim is for a procedure covered by an insurance plan, then the Insurance company should not have authority to deny a claim. If an insurance company believes a doctor is making fraudulent claims or excessive claims for unnecessary procedures, then they can report the doctor to the state medical board. Or they could sue the doctor for making excessive or unnecessary claims. In any case, the insurance companies will not be the one making the decision. It will be the courts or the licensing board. Not some asshole or asshole AI at an insurance company.