Triage and Referral Behavior of Patient Facing Medical Artificial Intelligence Products

<jats:p>We evaluated nine patient-facing artificial intelligence products using 60 physician-developed standardized clinical cases and 540 multi-turn simulated patient encounters. Although overall triage accuracy showed no statistically significant difference across product categories, referral behavior differed substantially. Branded health AI products more frequently over-triaged low-acuity cases (28% vs 3% vs 2%) and recommended affiliated, fee-requiring clinical services. These findings suggest evaluation of patient-facing medical AI should assess referral behavior alongside overall triage accuracy.</jats:p>