Cigna caught auto-denying claims using AI!

Cigna, a major health insurance company, is under fire for allegedly using AI instead of doctors to rapidly deny claims in just 1.2 seconds, as revealed in a class action lawsuit filed in California. The case stems from incidents where patients were denied crucial medical procedures, leaving them with substantial out-of-pocket expenses. The Insurance Untangled podcast hosts express their shock at this practice, highlighting the ongoing tension between quality healthcare and profit-driven insurance practices. Dentists and healthcare professionals have noticed auto-denial patterns, particularly for specific treatments. Addressing AI in claims denial remains a critical concern in a healthcare landscape of automation and profit pressures.