BiasHigh
Cigna Algorithm PXDX Allegedly Rejected Thousands of Patient Claims En Masse in Breach of California Law
- Occurred
- Jul 24, 2023
- Published
- Jul 24, 2023
- Source
- AI Incident Database
Summary
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.
Developers
- Cigna
Deployers
- Cigna
Harmed parties
- Patients
Tags
- health insurance
- lawsuit
- California law
- medical claims
- healthcare technology
Classification
Category confidence: 85%
Severity confidence: 90%
Rationale: Class-action lawsuit over algorithmic claim rejections causing financial harm and potential discrimination.
Classifier: Qwen/Qwen3.5-35B-A3B-FP8