BiasHigh
UnitedHealth Accused of Deploying Allegedly Flawed AI to Deny Medical Coverage
- Occurred
- Feb 28, 2023
- Published
- Feb 8, 2024
- Source
- AI Incident Database
Summary
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.
Developers
- NaviHealth
Deployers
- UnitedHealthcare
Harmed parties
- Medicare Advantage Plan Patients
- Healthcare Providers (Doctors and Therapists)
- Elderly patients
- Patients
Tags
- health insurance
- coverage denial
- legal dispute
- healthcare modeling
- healthcare algorithms
- response
Classification
Category confidence: 85%
Severity confidence: 90%
Rationale: AI algorithm errors causing denied coverage and financial harm to patients constitutes a significant discriminatory impact.
Classifier: Qwen/Qwen3.5-35B-A3B-FP8