Lawsuit Claims Cigna Used Algorithm to Deny Patient Coverage

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Source: Forbes
Lawsuit Claims Cigna Used Algorithm to Deny Patient Coverage
Photo: Forbes
TL;DR Summary

Cigna, a healthcare and insurance company, is facing a lawsuit alleging that its algorithmic system, PXDX, systematically rejects claims within seconds, denying coverage to hundreds of thousands of patients. The lawsuit claims that the system violates California competition law and the state's insurance code. This case raises concerns about the potential harm caused by technology in healthcare, as more organizations embrace AI and automation. Cigna defended the software system, stating that it is a tool to accelerate physician payments. The lawsuit comes amidst a broader debate about the use of advanced technology in healthcare and its impact on patient privacy and access to care.

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