AI Could Handle Tasks Associated With Up To 22% Of U.S. Outpatient Claims

Clinical artificial intelligence (AI) could potentially handle tasks associated with 16% to 22% of U.S. outpatient billing claims, representing approximately 2 billion to 3 billion claims annually, according to an analysis of 2024 insurance claims data. These opportunities are concentrated in routine clinical assessments and interpretation of diagnostic results rather than hands-on treatment. The services identified account for approximately 13% to 19% of outpatient spending, suggesting that AI could change how certain outpatient services are delivered and how health care professionals spend their time.

Two types of services account for the estimate. Evaluation and management visits involving no . . .