Judge gives UnitedHealth until April 29 to hand over AI claim denial documents

A Minnesota judge granted UnitedHealth Group an extension until April 29 to submit documents in a lawsuit claiming the insurer improperly denies rehabilitation care using an AI algorithm. The original deadline was March 30, but UnitedHealth cited the large volume and complexity of records spanning nine years. Plaintiffs agreed to the extension, contingent on receiving a 45-day extension for their expert declarations. The lawsuit alleges UnitedHealth’s AI model has a 90% error rate and prioritizes profit over patient care, prematurely discharging patients or forcing them to deplete savings. UnitedHealth maintains that its AI tool, nH Predict, is only a guide for medical directors, who make final coverage decisions based on CMS Medicare criteria, and characterizes the lawsuit as based on “unfounded allegations.” The discovery process has already involved reviewing over 40,000 documents and producing over 60,000 pages, but certain data categories require more time to process. This case raises important questions for the insurance industry regarding the deployment and oversight of AI systems in coverage decisions.

(Source：Complete Ai Training)