Wikipedia -WSS

Wikipedia

author：Wikipedia 2025-09-29 21:14:55 - browse：4

A new lawsuit accuses the health insurer Cigna of denying claims in bulk. Julia Rendleman/Getty Images for Eventive Marketing

A new lawsuit accuses Cigna of using an algorithm to automatically deny claims in bulk instead of individually reviewing each case, putting patients on the hook for bills the health insurer otherwise would have paid.

The complaint filed Monday in the Eastern District of California says Cigna uses a system called PXDX to identify discrepancies between diagnoses and the tests and services it covers for those ailments. The company then allegedly denies claims in bulk without looking into each coverage request. California law requires insurers to give each claim a “thorough, fair, and objective investigation.”

Once the claims are denied, the company allegedly has its physician reviewers sign off on batches of denials without opening each patient’s files to conduct detailed reviews. The complaint cites a March ProPublica article, which found that over a period of two months in 2022, Cigna doctors denied over 300,000 requests for payment using PXDX, spending an average of 1.2 seconds “reviewing” each request. One doctor alone denied 121,000 claims in that time period, according to the article.

Unlock this article by subscribing to STAT+ and enjoy your first 30 days free!

GET STARTED Log In

Previous article： After affirmative action ruling, medical educators look to 'holistic review'
Next article： 2 officers injured in shooting in Orlando, police say

focus

WSS

Does aspartame cause cancer? What new WHO guidance says

Judge partially blocks Texas abortion ban for medical emergencies, fatal diagnoses

Global childhood vaccinations edge closer to pre

Who gets to use the title 'doctor'?

Grail faces three suits alleging harassment, retaliation

FDA scientists endorse Pfizer/BioNTech Covid

explore

Wikipedia

entertainment

Apple is now the first public company to be valued at $3 trillion

Personalized medicine goes far beyond genetics

Sports medicine is finally prioritizing gender equality

Eli Lilly to acquire Versanis in heated race for weight loss drugs

Cancer drug shortages should be causing more outrage

Woman gored by Bison at Yellowstone

Over 800 arrested across France in 3rd night of riots after fatal police shooting of teen

Alnylam reports growth in sales of rare disease treatments

The Supreme Court will review a ruling striking down a domestic violence federal gun ban

When waiting feels immoral: Empathy in the emergency department

explore

Medicare slashes safety net hospital payments by nearly $1 billion

Europe sees delivery challenges ahead on Alzheimer's therapies

Florida officials tell state schools to teach AP Psychology 'in its entirety'

Personalized medicine goes far beyond genetics

4 killed in mass shooting in Georgia, shooter remains on the loose: Police

Biotech startup Celsius cuts 75% of staff ahead of first trial start

focus

focus

explore

Wikipedia