How Medical Professionals Can Defend Against AI-Driven “Outlier Reports”
When you log into your Electronic Medical Record (EMR) system, you might see a patient’s vitals like height and weight right next to a three-digit number known as a Narx Score. The primary engine behind these scores is NarxCare, an algorithm developed by Bamboo Health. This system analyzes state Prescription Drug Monitoring Program (PDMP) data to assign risk ratings. While these platforms are designed to identify patient risk, they are increasingly being used to flag physicians as “over-prescribers” before a human investigator ever reviews a single patient file. This causes regulatory boards to jump to conclusions that often mean physicians and nurse practitioners are automatically presumed guilty.
Do not let a computer program dictate your career. Call the LLF National Law Firm at 888-535-3686 or contact us online to speak with our Professional License Defense Team.
The Expanding Reach of Predictive Analytics
As of late 2025, nearly all states have integrated the NarxCare algorithm or similar predictive analytics into their state PDMP systems. States like Ohio, Michigan, Indiana, North Carolina, and Montana have been highly visible in their adoption of these analytics. Tools like NarxCare pull data from state databases to identify patterns involving patients and physicians.
AI is ultimately powered by complex mathematical calculations and large sets of training data. While this makes AI systems incredibly good at detecting patterns and regurgitating what they have been trained on, AI-powered systems cannot “think for themselves” and understand discretion and nuance. This means NarxCare may see patterns that are not really there or flag innocent behavior that meets a pattern it has been trained to recognize.
Unfortunately, regulators and investigators often believe that NarxCare is infallible and any practitioner it flags must automatically be guilty. This directly goes against the due process rights that medical professionals have.
How Our Professional License Defense Team Helps Professionals
To anyone who has practiced medicine for a single day, let alone for years, it ought to be painfully obvious that you cannot summarize a patient’s medical history and interactions with medical practitioners with a three-digit score. As a medical professional, you are the one in the examination room who examined the patient and prescribed medication to cure the issue that you diagnosed, not some AI-powered robot.
At the LLF National Law Firm, our Professional License Defense Team knows from our many years of experience that due process is vital for all licensed professionals. Sadly, the overreliance on brand new technology often flies in the face of basic concepts like “innocent until proven guilty.”
If you are under investigation, do not attempt to explain your clinical decisions to a board investigator alone, as your statements can be misinterpreted. Let us step in, manage communications, negotiate with the board, and even bring the issue to court if need be.
You worked for many years to earn your medical license, and an automated report should not be the end of your career. Call the LLF National Law Firm at 888-535-3686 or contact us online to start building your defense today.