Cigna Faces Class Action Lawsuit Regarding Automated Claims Decisions
Summary
Cigna, a health and life insurance company, is facing a class action lawsuit filed in California federal court. The complaint alleges that Cigna’s automated decision system enablesdoctors to systematically deny batches of insurance claims at a time, which circumvents the “legally-required individual physician review process,” and violates federal and California law. Plaintiffs claim that the rate of denials enabled by the Cigna PxDx system, with an alleged average time of consideration being 1.2 seconds, is evidence that Cigna does not individually assess claims in accordance with California law.
Impacted Sectors
Additional Information
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