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No. 002/AI claim denial

UnitedHealthcare

Codename · nH Predict

A class action alleges UnitedHealthcare used an AI tool, nH Predict, as a hard cap on post-acute care for Medicare Advantage patients, and that roughly 90% of appealed denials were overturned. UnitedHealth says the tool is used as a guide and not to make coverage decisions.

Active litigationEvidence
Status of record

Active litigation (Estate of Lokken v. UnitedHealth)

The alleged harm

On the record

3 sources of public record behind this case.

SourceReferenceDate
Estate of Gene B. Lokken et al. v. UnitedHealth GroupD. Minnesota14 Nov 2023
Senate PSI report on Medicare Advantage AI denialssenate.gov17 Oct 2024
Ruling on motion to dismiss (contract claims proceed)D. Minnesota13 Feb 2025

Cite this page

Spyrou, Sotiris. "UnitedHealthcare: nH Predict." Grift, Inc. case files. https://griftinc.com/cases/unitedhealthcare-nh-predict

This page reports on matters of public record. Claims described in those matters are allegations unless resolved by a court. Corrections and right of reply: hello@griftinc.com.

Same technique