Incidents involved as both Developer and Deployer

Incident 5011 Report
Length of Stay False Diagnosis Cut Off Insurer's Payment for Treatment of Elderly Woman


An elderly Wisconsin woman was algorithmically determined to have a rapid recovery, an output which the insurer based on to cut off payment for her treatment despite medical notes showing her still experiencing debilitating pain.


Incidents involved as Developer

Incident 60821 Reports
UnitedHealth Accused of Deploying Allegedly Flawed AI to Deny Medical Coverage


UnitedHealthcare allegedly used a faulty AI algorithm with a 90% error rate to override doctors' recommendations and deny health coverage. This AI, developed by NaviHealth, reportedly led to premature discharge from care facilities and substantial out-of-pocket expenses for patients, according to a lawsuit filed in the District Court for Minnesota.


Related Entities