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Case tracker · AI benefit & claim denials

Kisting-Leung v. Cigna Corporation

AI benefit & claim denials

Ongoing

Filed Jul 24, 2023; class advanced Mar 2025

AI system / company: Cigna "PxDx" automated claims-review algorithm
Jurisdiction: United States (California)
Court / regulator: U.S. District Court, E.D. Cal.
Status: Ongoing

What happened

Following a ProPublica investigation, plaintiffs filed a class action alleging Cigna's PxDx algorithm enabled mass denial of claims, with reviewing doctors allegedly spending an average of about 1.2 seconds per case, contrary to California law requiring thorough, fair review. In March 2025 the court allowed the class action over the AI-based algorithm to proceed.

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

Jerry J Jarzombek
The Law Office of Jerry Jarzombek, PLLC · Texas
Civil rights
Consumer protection / unfair practices
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Zachary Kirk Ferguson , II
The Law Office of Zach Ferguson PLLC · Texas
Civil rights
Consumer protection / unfair practices
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Bryan D Bruner
Bruner & Bruner PC · Texas
Civil rights
Consumer protection / unfair practices
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Kathryn Marie Copeland
Naman Howell Smith & Lee PLLC · Texas
Civil rights
Consumer protection / unfair practices
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Kara Letisha Carreras
Carreras Law Group · Texas
Civil rights
Consumer protection / unfair practices
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Matthew B Fronda
Padfield & Stout LLP · Texas
Civil rights
Consumer protection / unfair practices
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More ai benefit & claim denials cases →

Related cases

Estate of Lokken v. UnitedHealth Group, Inc. (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.