Cigna sued for using software to deny healthcare insurance claims
Cigna has been sued in California based on allegations the US healthcare insurer unlawfully reviewed insurance claims using automated systems rather than relying on humans.
Cigna has been sued in California based on allegations the US healthcare insurer unlawfully reviewed insurance claims using automated systems rather than relying on humans.
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.
Cigna violated the law by denying claims for imaging and other services in bulk, lawsuit alleges
Two Cigna members sued the insurer in California federal court Monday, seeking an injunction
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.
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The lawsuit claims the Cigna PXDX algorithm enables automatic denials for treatments that do not match preset criteria.
A federal lawsuit alleges that health insurance giant Cigna used a computer algorithm to automatically reject hundreds of thousands of patient claims without examining them individually as required by California law.