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 marked by automation and profit pressures.

CTA – Cigna Accused Of Using AI, Not Doctors, To Deny Claims: Lawsuit

Resources

Freebie 18

Recent Episodes

Usual and Customary Fee trends and How setting fees can impact your insurance reimbursements


Listen Now

Your Marketing Blueprint to Make 2025 Your Best Year Yet


Listen Now

Negotiating with Insurance through associations, study clubs, and dental cooperatives. The Do’s and Don’ts


Listen Now