fashion -WSS

fashion

author：Wikipedia 2025-10-02 11:08:46 - browse：214

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： The high cost of giving birth even with insurance
Next article： Elevance, private equity launch primary care company

entertainment

WSS

It costs an awful lot of money to give away a kidney

Elevance, private equity launch primary care company

Flint parents haunted by uncertainty, fears of lead poisoning

How to ethically and practically extend health care to all

H.R. 3 is the wrong path to lower drug costs

Sanofi strikes deal with Novavax, boosting the vaccine maker

Wikipedia

fashion

focus

Cancer drug shortages should be causing more outrage

Medicare slashes safety net hospital payments by nearly $1 billion

Cancer drug shortages should be causing more outrage

Making AI in medicine accessible to smaller, and rural hospitals

What does generative AI mean for health care? We asked experts

The cancer stories no one wants to hear

Malaria cases in Florida and Texas: Here’s what you need to know

Readout Newsletter: Sanofi, Novavax, Maze x Shionogi news

Hepatitis C has a cure — but many Americans still lack access to it

Flint parents haunted by uncertainty, fears of lead poisoning

hotspot

Brain worms: The science behind RFK Jr.'s parasitic infection

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

How to improve immunocompromised access to mAb treatments

Readout LOUD podcast: What to know about H5N1 bird flu

Readout LOUD podcast: brain research, obesity drug sales, Novartis

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

hotspot

knowledge

entertainment

focus