Entities
NaviHealth
Incidents involved as both Developer and Deployer
Incident 5011 Report
Length of Stay False Diagnosis Cut Off Insurer's Payment for Treatment of Elderly Woman
2019-06-03
An elderly Wisconsin woman was algorithmically determined to have a rapid recovery, an output which the insurer based on to cut off payment for her treatment despite medical notes showing her still experiencing debilitating pain.
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Incident 60821 Reports
UnitedHealth Accused of Deploying Allegedly Flawed AI to Deny Medical Coverage
2023-02-28
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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