Summary
Requires the Maryland Insurance Administration to examine certain carrier decisions related to claims and authorization requests for emergency department services, including whether artificial intelligence, algorithms, or other software tools were used in making such decisions.
Healthcare Implications
Creates oversight of payer use of AI and algorithmic tools in claims and authorization decisions involving emergency department services. May affect how carriers document and justify automated or software-assisted denials, and may give regulators, providers, and patients greater visibility into AI-enabled coverage decisions.