Humana used AI tool from UnitedHealth to deny Medicare Advantage claims, lawsuit alleges

(By Jakob Emerson for Becker’s Hospital Review)

Humana used an artificial intelligence tool owned by UnitedHealth Group to wrongfully deny Medicare Advantage members’ medical claims, according to a class-action complaint filed Dec. 12.

The lawsuit was filed in the U.S. District Court for the Western District of Kentucky and is the latest legal action against major insurers such as UnitedHealthcare and Cigna for allegedly using automated data tools to wrongfully deny members’ claims. Continue reading here…

Notice: The link provided above connects readers to the full content of the posted article. The URL (internet address) for this link is valid on the posted date; medicarereport.org cannot guarantee the duration of the link’s validity. Also, the opinions expressed in these postings are the viewpoints of the original source and are not explicitly endorsed by AMAC, Inc.; the AMAC Foundation, Inc.; or medicarereport.org