HISPI Project Cerebellum
AI Incidents

UnitedHealth Accused of Deploying Allegedly Flawed AI to Deny Medical Coverage

February 28, 2023

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.
Alleged deployer
unitedhealthcare
Alleged developer
navihealth
Alleged harmed parties
medicare-advantage-plan-patients, healthcare-providers-(doctors-and-therapists), elderly-patients

Source

Data from the AI Incident Database (AIID). Cite this incident: https://incidentdatabase.ai/cite/608

Data source

Incident data is from the AI Incident Database (AIID).

When citing the database as a whole, please use:

McGregor, S. (2021) Preventing Repeated Real World AI Failures by Cataloging Incidents: The AI Incident Database. In Proceedings of the Thirty-Third Annual Conference on Innovative Applications of Artificial Intelligence (IAAI-21). Virtual Conference.

Pre-print on arXiv · Database snapshots & citation guide

We use weekly snapshots of the AIID for stable reference. For the official suggested citation of a specific incident, use the “Cite this incident” link on each incident page.