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Incident 1324: Pieces Technologies' Clinical AI Systems Allegedly Marketed With Misleading Performance Claims

Responded
Description: The Texas Attorney General announced a settlement with Pieces Technologies following allegations that the company misrepresented the accuracy of its healthcare AI systems used for clinical documentation. The state concluded that marketing claims about low error and hallucination rates may have misled hospitals and clinicians relying on the tools in patient care settings. The settlement imposed restrictions on future claims and required greater transparency around performance and risk.
Editor Notes: Timeline note: The incident ID date of 09/18/2024 is taken from the date the Texas Attorney General's Office announced its settlement with Pieces Technologies, Inc. The incident ID was created on 01/02/2026.

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Alleged: Pieces Technologies, Inc. , Unknown generative AI systems , Pieces Technologies generative AI systems , Healthcare decision-support systems and Clinical documentation AI developed and deployed an AI system, which harmed Public health , patients , Healthcare institutions , Epistemic integrity and Clinicians.
Alleged implicated AI systems: Unknown generative AI systems , Pieces Technologies generative AI systems , Healthcare decision-support systems and Clinical documentation AI

Incident Stats

Incident ID
1324
Report Count
4
Incident Date
2024-09-18
Editors
Daniel Atherton

Incident Reports

Reports Timeline

+1
Attorney General Ken Paxton Reaches Settlement in First-of-its-Kind Healthcare Generative AI Investigation
Texas Attorney General’s Office Reaches Settlement with AI Company Over Deceptive ClaimsRising AI Enforcement: Insights From State Attorney General Settlement and U.S. FTC Sweep for Risk Management and GovernanceSmarter Technologies Acquires Pieces Technologies and Launches SmarterNotes - Response
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Attorney General Ken Paxton Reaches Settlement in First-of-its-Kind Healthcare Generative AI Investigation

Attorney General Ken Paxton Reaches Settlement in First-of-its-Kind Healthcare Generative AI Investigation

texasattorneygeneral.gov

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Texas Attorney General’s Office Reaches Settlement with AI Company Over Deceptive Claims

Texas Attorney General’s Office Reaches Settlement with AI Company Over Deceptive Claims

wilmerhale.com

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Rising AI Enforcement: Insights From State Attorney General Settlement and U.S. FTC Sweep for Risk Management and Governance

Rising AI Enforcement: Insights From State Attorney General Settlement and U.S. FTC Sweep for Risk Management and Governance

sidley.com

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Smarter Technologies Acquires Pieces Technologies and Launches SmarterNotes

Smarter Technologies Acquires Pieces Technologies and Launches SmarterNotes

businesswire.com

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Attorney General Ken Paxton Reaches Settlement in First-of-its-Kind Healthcare Generative AI Investigation
texasattorneygeneral.gov · 2024

Texas Attorney General Ken Paxton secured a first-of-its-kind settlement with a Dallas-based artificial intelligence healthcare technology company called Pieces Technologies. The agreement resolves allegations that the company deployed its …

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Texas Attorney General’s Office Reaches Settlement with AI Company Over Deceptive Claims
wilmerhale.com · 2024

On September 18, the Texas Attorney General (AG) announced a settlement agreement with Pieces Technologies, Inc. ("Pieces"), a Dallas-based healthcare artificial intelligence (AI) research and development firm, resolving allegations that th…

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Rising AI Enforcement: Insights From State Attorney General Settlement and U.S. FTC Sweep for Risk Management and Governance
sidley.com · 2024

On September 18, 2024, Texas announced a first-of-its-kind state AG settlement against generative artificial intelligence (AI) healthcare company Pieces Technologies (Pieces) for using allegedly deceptive and misleading statements regarding…

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Smarter Technologies Acquires Pieces Technologies and Launches SmarterNotes
businesswire.com · 2025
John Hallock post-incident response

Smarter Technologies Acquires Pieces Technologies and Launches SmarterNotes: The First Clinical AI Solution to Unite Inpatient Documentation with Revenue Cycle Intelligence

  • SmarterDx will integrate Pieces Technologies for a new offering th…

Variants

A "variant" is an AI incident similar to a known case—it has the same causes, harms, and AI system. Instead of listing it separately, we group it under the first reported incident. Unlike other incidents, variants do not need to have been reported outside the AIID. Learn more from the research paper.
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