entertainment -WSS

entertainment

author：leisure time 2025-09-28 00:51:44 - 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： Continuity nursing helped my family in our darkest PICU moments
Next article： Judge in Trump's classified documents case questions use of out

WSS

Grail is spending more than ever lobbying Congress

Ukraine, Russia accuse each other of planning to attack Europe's biggest nuclear plant

Did the public have the right to know Arthur Ashe had AIDS?

Severe weather updates: 1 million customers without power in 11 states as storms pummel East Coast

Restaurant meals are packed with calories, and we still keep eating them

These geoengineering technologies could help combat the climate crisis, scientists say

hotspot

entertainment

focus

After affirmative action ruling, medical educators look to 'holistic review'

Pennsylvania man bitten on the head by bear during attack in his garage

DIEP, the 'gold standard' of breast reconstruction, is under threat

Option Care buys Amedisys in $3.6 billion home care deal

Medical records are filled with copy

When is a doctor not a doctor? Try when patients address women doctors

Sports medicine is finally prioritizing gender equality

Kansas bar where gunfire wounded 9 last month closes permanently

ChatGPT in medicine: STAT answers readers' burning questions

Restaurant meals are packed with calories, and we still keep eating them

explore

St. Louis police protesters begin picking up checks in $4.9 million settlement

Option Care buys Amedisys in $3.6 billion home care deal

PhRMA sues HHS over Medicare drug price negotiation

Connecting traumatic brain injury and domestic violence

Can food be medicine? And other questions about a new push

Duchenne patients, backed by ‘dark money’ group, to debate drug prices

hotspot

focus

Wikipedia

Wikipedia