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Case tracker · AI benefit & claim denials

Estate of Lokken v. UnitedHealth Group, Inc.

AI benefit & claim denials

Ongoing

Filed Nov 14, 2023

AI system / company: UnitedHealth / NaviHealth "nH Predict" AI algorithm
Jurisdiction: United States (Minnesota)
Court / regulator: U.S. District Court, D. Minn.
Status: Ongoing

What happened

The estates of deceased Medicare Advantage enrollees allege UnitedHealth used the nH Predict AI tool to deny medically necessary post-acute care, overriding clinicians’ judgment, while allegedly knowing the tool had a roughly 90% reversal rate on appeal. A federal magistrate ordered broad discovery into UnitedHealth’s AI claims processes in 2025 and the case is proceeding.

About ai benefit & claim denials cases

Algorithmic tools used by insurers or health plans to deny medically necessary care or benefits at scale, overriding clinician judgment.

Sources

Attorneys who handle ai benefit & claim denials cases

Anand Kumar Chavakula
Maryland
Civil rights
Consumer protection / unfair practices
Draft intro email
Opens your email app with a ready-to-edit draft. Replace the bracketed prompts with your details before sending. Free — no account needed.
Benjamin Edwin Calpino
Florida
Civil rights
Consumer protection / unfair practices
Draft intro email
Opens your email app with a ready-to-edit draft. Replace the bracketed prompts with your details before sending. Free — no account needed.
Laurel LaMontagne
District of Columbia
Civil rights
Consumer protection / unfair practices
Draft intro email
Opens your email app with a ready-to-edit draft. Replace the bracketed prompts with your details before sending. Free — no account needed.
Ross Q. Panko
District of Columbia
Civil rights
Consumer protection / unfair practices
Draft intro email
Opens your email app with a ready-to-edit draft. Replace the bracketed prompts with your details before sending. Free — no account needed.
Peter Andrew Koziol
Florida
Civil rights
Consumer protection / unfair practices
Draft intro email
Opens your email app with a ready-to-edit draft. Replace the bracketed prompts with your details before sending. Free — no account needed.
Timothy B. Hyland
Virginia
Civil rights
Consumer protection / unfair practices
Draft intro email
Opens your email app with a ready-to-edit draft. Replace the bracketed prompts with your details before sending. Free — no account needed.

More ai benefit & claim denials cases →

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Kisting-Leung v. Cigna Corporation (Ongoing)

Informational summary compiled from the cited public sources. Not legal advice, not a complete case record, and not affiliated with any party. Attorney Match does not receive referral fees. Verify current status with primary sources before relying on this entry.