Artificial Intelligence Governance Professional AIGP · Free Practice Question Medium
Question 16
A healthcare insurer deploys an AI system to approve or deny medical claims. Patients notice the system rejects certain claims without clear reasoning. Which approach best promotes contestability and trust in this context?
- A Reduce claim denial notifications to technical codes
- B Provide patients with clear explanations and a process for submitting evidence or requesting human review
- C Allow only medical professionals to contest decisions
- D Automate appeals using the same AI model that made the initial decision
Reveal correct answer
Correct answer: B
Explanation
Transparent explanations and human review enable contestability and foster user trust in high-stakes decisions.A. Technical codes are unclear and hinder contestability.
B. This gives claimants an opportunity to challenge decisions and supply additional information, promoting fairness and trust.
C. Restricting contestability to professionals limits fairness and may violate patients' rights.
D. Relying solely on automation can perpetuate errors and reduces human oversight.
Discussion
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