Description: Cigna health insurer faces a class-action lawsuit for allegedly using the PXDX ("procedure-to-diagnosis") algorithm to automatically reject over 300,000 patient claims in violation of California law, prompting two members to file the lawsuit seeking damages and a jury trial. Cigna disputes the allegations, claiming the process expedites physician reimbursement and does not result in care denials.
インシデントのステータス
Risk Subdomain
A further 23 subdomains create an accessible and understandable classification of hazards and harms associated with AI
7.3. Lack of capability or robustness
Risk Domain
The Domain Taxonomy of AI Risks classifies risks into seven AI risk domains: (1) Discrimination & toxicity, (2) Privacy & security, (3) Misinformation, (4) Malicious actors & misuse, (5) Human-computer interaction, (6) Socioeconomic & environmental harms, and (7) AI system safety, failures & limitations.
- AI system safety, failures, and limitations
Entity
Which, if any, entity is presented as the main cause of the risk
AI
Timing
The stage in the AI lifecycle at which the risk is presented as occurring
Post-deployment
Intent
Whether the risk is presented as occurring as an expected or unexpected outcome from pursuing a goal
Intentional
インシデントレポート
レポートタイムライン
Cigna, the healthcare and insurance giant, was hit with a lawsuit on Monday that alleges the company systematically rejects claims in a matter of seconds, thanks to an algorithmic system put in place to help automate the process—further rai…
SACRAMENTO, Calif. (AP) — 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 la…
バリアント
「バリアント」は既存のAIインシデントと同じ原因要素を共有し、同様な被害を引き起こし、同じ知的システムを含んだインシデントです。バリアントは完全に独立したインシデントとしてインデックスするのではなく、データベースに最初に投稿された同様なインシデントの元にインシデントのバリエーションとして一覧します。インシデントデータベースの他の投稿タイプとは違い、バリアントではインシデントデータベース以外の根拠のレポートは要求されません。詳細についてはこの研究論文を参照してください
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Did our AI mess up? Flag the unrelated incidents