Consumer Protection
Class action lawsuit filed alleging AI algorithm used to deny Medicare Advantage claims
Nov 1, 2023
Families of two deceased Medicare Advantage beneficiaries filed class action alleging UnitedHealth, UnitedHealthcare, and naviHealth used AI tool nH Predict to systematically deny post-acute care claims. Lawsuit alleges 90% error rate on AI-driven denials. Plaintiffs include 91-year-old recovering from fractures and 74-year-old stroke patient.
Key Details
Agency
U.S. District Court, District of Minnesota
Date
November 1, 2023
Severity
Critical
Location
Minneapolis, MN (Federal Court)
Domain
Consumer Protection