It will be an interesting arms race. The real losers will be the human individuals, not insurers, who will have to contend with an AI when disputing claims. I have little faith that the prompt will encourage fair interpretation of (sometimes deliberately) ambiguous rules.
There’s a fast-growing cottage industry of companies using AI to figure out how to bill insurers “better”
And there’s a fast-growing cottage industry of companies using AI to figure out how to deny claims “better”
I see no reason to expect improvements to the patient or provider experience from this. A lot more money spent though!