Lawsuit accuses UnitedHealth Group of using faulty AI to deny Medicare patient claims


November 16, 2023

UnitedHealth Group

UnitedHealthcare, which is the health insurance division of Minnetonka-based UnitedHealth Group, is named as a defendant in the class action complaint.

A class-action lawsuit filed Tuesday claims Minnetonka-based UnitedHealth Group is using a faulty artificial intelligence algorithm to wrongly deny coverage for Medicare patients who need rehabilitation care following hospitalizations.

The complaint was filed in the U.S. District Court of Minnesota after the news website STAT published an investigation into the company's use of the technology.

The lead plaintiffs are the families of two patients who lived in north central Wisconsin, about three hours east of the Twin Cities, and paid hefty out-of-pocket bills after receiving coverage denials for care in post-acute facilities.


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