Cigna Faces Lawsuit Over Alleged Systematic Claims Denials Through AI Technology
Cigna, a major healthcare and insurance company, has been hit with a lawsuit accusing the company of systematically rejecting claims in a matter of seconds, driven by an algorithmic system designed to automate the process. The lawsuit raises concerns about how technology, particularly artificial intelligence (AI), may potentially harm patients as more healthcare organizations embrace advanced tools.
The lawsuit, filed in California and seeking class-action status, was brought forth by two plaintiffs, Suzanne Kisting-Leung and Ayesha Smiley, who were denied coverage by Cigna. Suzanne was denied coverage for an ultrasound related to a suspected risk of ovarian cancer, while Ayesha’s claim for a vitamin D deficiency test, ordered by her doctor, was also denied.