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UnitedHealth Accused of Deploying Allegedly Flawed AI to Deny Medical Coverage

AI Incident Database · article · Oct 5, 2023 · UTC

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.

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recordType
incident-report
evidenceStatus
reported
region
Global

Reported occurrence date: 2023-02-28T00:00:00.000Z

Evidence & attribution

AI Incident Database, Responsible AI Collaborative; McGregor (2021), Preventing Repeated Real World AI Failures by Cataloging Incidents. Incident-specific contributor credits are available at each citation link. Metadata adapted; article text excluded.

License: CC BY-SA 4.0

First collected: 2026-09-19T22:50:59.123Z. This is not the publication date.

Observed changes

AIIC observation times, not verified publisher revision times. Up to eight recent revisions.

2026-09-20T23:22:28.549Z

  • publishedAt: Not provided2023-10-05T00:00:00.000Z