Cigna Sued in California Over Automated Claim Reviews
Read about Cigna Sued in California Over Automated Claim Reviews
Read about Cigna Sued in California Over Automated Claim Reviews
A class-action lawsuit was filed against Cigna for allegedly wrongfully rejecting thousands of claims using an algorithm; Black women still have a fetal mortality rate double the national average despite declining from that of recent years; the CDC is investigating the source of ground beef causing a multistate salmonella outbreak.
Cigna Healthcare, a major player in the health insurance industry, is now at the center of a federal class action lawsuit over claims that the company has been using AI algorithms to improperly deny customer claims. The lawsuit claims that Cigna’s system denied about 300,000 pre-approved claims, spending an average of 1.2 seconds to deny each claim.
The lawsuit claims the Cigna PXDX algorithm enables automatic denials for treatments that do not match preset criteria.
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Cigna Healthcare is facing a federal class action lawsuit which alleges the company used algorithms to “deny payments in batches of hundreds or thousands at a time,” as part of an almost completely automated claims decision process.
Two Cigna members sued the insurer in California federal court Monday, seeking an injunction
Cigna violated the law by denying claims for imaging and other services in bulk, lawsuit alleges
The lawsuit comes as payers face intensifying criticism over automated claims decision processes.