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https://www.productionai.institute/graph/events/evt-aiid-591

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Production AI Institute public record · AI Incident Database: Cigna Algorithm PXDX Allegedly Rejected Thousands of Patient Claims En Masse in Breach of California Law · observed 2023-08-07
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AI Incident Database: Cigna Algorithm PXDX Allegedly Rejected Thousands of Patient Claims En Masse in Breach of California Law

Cigna health insurer faces a class-action lawsuit for allegedly using the PXDX ("procedure-to-diagnosis") algorithm to automatically reject over 300,000 patient claims in violation of California law, prompting two members to file the lawsuit seeking damages and a jury trial. Cigna disputes the allegations, claiming the process expedites physician reimbursement and does not result in care denials.

AI Incident Database · Incident 591

Operator lens (high): inspect D2 (output validation), D6 (autonomy oversight), D7 (tool permissions).

Confidence
82%
Sources
3
Entities
2
Detected
detected 1076d ago

Event summary

Cigna health insurer faces a class-action lawsuit for allegedly using the PXDX ("procedure-to-diagnosis") algorithm to automatically reject over 300,000 patient claims in violation of California law, prompting two members to file the lawsuit seeking damages and a jury trial. Cigna disputes the allegations, claiming the process expedites physician reimbursement and does not result in care denials.

D2D6D7

Linked entities

  • cigna

    organisation | 70%

  • patients

    organisation | 70%

Related graph edges

EdgeTypeConfidence
ent-aiid-cigna to ent-psf-d2maps to60%
ent-aiid-cigna to ent-psf-d2maps to60%
ent-aiid-cigna to ent-psf-d2maps to60%
ent-aiid-cigna to ent-psf-d6maps to60%
ent-aiid-cigna to ent-psf-d6maps to60%
ent-aiid-cigna to ent-psf-d6maps to60%
ent-aiid-cigna to ent-psf-d7maps to60%
ent-aiid-cigna to ent-psf-d7maps to60%
ent-aiid-cigna to ent-psf-d7maps to60%

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Event dates

  • Happened 24 July 2023

  • Detected 7 Aug 2023

Sources

  • AI Incident Database - Incident 591

    secondary | checked 9 July 2026

    Open source
  • Cigna Health Giant Accused of Improperly Rejecting Thousands of Patient Claims Using an Algorithm

    primary | checked 27 July 2023

    Open source
  • Cigna Sued Over Algorithm Allegedly Used To Deny Coverage To Hundreds Of Thousands Of Patients

    secondary | checked 7 Aug 2023

    Open source
Cite this record

"AI Incident Database: Cigna Algorithm PXDX Allegedly Rejected Thousands of Patient Claims En Masse in Breach of California Law." https://www.productionai.institute/graph/events/evt-aiid-591 (observed 2023-07-24; retrieved 2026-07-18). PAI.

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