AI in Healthcare Claims Processing: Current Legal Landscape and Industry Impact 

Tatyana Kantor, Billing Supervisor at WCH, President of AAPC Chapter in Tashkent 

The healthcare insurance industry is facing unprecedented legal challenges as three major class-action lawsuits continue to work their way through federal courts, fundamentally questioning the use of artificial intelligence in claims processing. As of 2025, Cigna, Humana, and UnitedHealthcare—three of the nation’s largest health insurers—are defending their AI-driven decision-making systems against allegations of systematic claim denials that prioritize cost reduction over patient care. 

Current Legal Status: Three Cases Still Active 

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