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KC-area hospital sues Blue KC, says AI-powered insurance denials ignored doctors

By The Kansas City Star  
   July 12, 2025

AdventHealth Shawnee Mission, the Merriam-based hospital, is suing Blue Cross and Blue Shield of Kansas City, accusing the insurance provider of withholding more than $2 million in payments by wrongfully denying hundreds of medical diagnoses made by its physicians. Attorneys for the hospital said the insurance provider, also known as Blue KC, had contracted with Apixio, a firm that touts its use of artificial intelligence to review claims, to do audits of AdventHealth's diagnoses.

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