Insurance Denials Expert Witnesses

Cambridge, Massachusetts

Artificial Intelligence, Health Informatics - Healthcare AI, Bad Faith Denials, Insurance Denials, HIPAA, Machine Learning, Prior Authorization, Agentic AI, Clinical Decision Support, FDA, RAG, LLM Hallucinations, Generative AI, Utilization Review, EEOC, AI Ethics, Algorithmic Bias, AI Governance, AI Fraud, Daubert, ChatGPT

AI expert witness with 15+ years building, deploying, and auditing 100+ production AI systems. Rare combination of practitioner, scholar, and researcher - the expert opposing counsel can't dismiss as "just an academic" or "just an engineer." Most AI experts fall into one category: academics who've never shipped production code, or engineers who can't write a defensible report. I've done both - built AI systems at Harvard Medical School, Apple, and federal agencies while publishing award-winning peer-reviewed research on AI ethics and large language models. This dual foundation creates opinions that survive Daubert challenges and cross-examination. Technical expertise spans multiple domains, including healthcare AI and insurance bad faith litigation, including prior authorization algorithms, utilization management systems, AI-driven claim denials, and clinical decision support failures. Deep experience with LLM hallucinations and defective outputs including GPT, Claude, and Llama fa...

Santa Fe, New Mexico

Otolaryngology, Allergy & Immunology - Thyroid surgery, Facial nerve injury, Sinus surgery, Voice disorders, Hearing loss, Noise exposure, Vertigo, Sleep apnea, Allergy immunotherapy, Anaphylaxis, Insurance denials, Antibiotic overuse, Swallowing disorders, Cancer of the mouth and throat

I was Valedictorian of my high school, and graduated Cum Laude from the University of Texas at Austin, earning Phi Beta Kappa. I was in the top 10 % of my medical school class. I benefited from extrordinary training at Bethesda Navy Hospital which was tha main East Caost Navy referral hospital. I was in the operating room at least twice a week, doing surgery "for free" on active duty military, their dependents (including children from newborn until late teens) and retirees. I have been in practice long enough to see numerous advances that make diagnoses and treatment more efeective and safe. But learning in the days before CT scans and MRIs honed my skills. However, I am definitely not stuck in the past. I incorporate the latest in modern technology both in my clinic and in the operating room. I have another "talent" that I am proud of. I am an excellent public speaker and I know how to phrase topics so that they are understandable to the general population. I was the Texas High S...

Texas

Otolaryngology, Allergy & Immunology - Thyroid surgery, Facial nerve injury, Sinus surgery, Voice disorders, Hearing loss, Noise exposure, Vertigo, Sleep apnea, Allergy immunotherapy, Anaphylaxis, Insurance denials, Antibiotic overuse, Swallowing disorders, Cancer of the mouth and throat

I was Valedictorian of my high school, and graduated Cum Laude from the University of Texas at Austin, earning Phi Beta Kappa. I was in the top 10 % of my medical school class. I benefited from extrordinary training at Bethesda Navy Hospital which was tha main East Caost Navy referral hospital. I was in the operating room at least twice a week, doing surgery "for free" on active duty military, their dependents (including children from newborn until late teens) and retirees. I have been in practice long enough to see numerous advances that make diagnoses and treatment more efeective and safe. But learning in the days before CT scans and MRIs honed my skills. However, I am definitely not stuck in the past. I incorporate the latest in modern technology both in my clinic and in the operating room. I have another "talent" that I am proud of. I am an excellent public speaker and I know how to phrase topics so that they are understandable to the general population. I was the Texas High S...