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Case tracker · AI benefit & claim denials

Estate of Lokken v. UnitedHealth Group, Inc.

AI benefit & claim denials

Ongoing

Filed Nov 14, 2023

AI system / company: UnitedHealth / NaviHealth "nH Predict" AI algorithm
Jurisdiction: United States (Minnesota)
Court / regulator: U.S. District Court, D. Minn.
Status: Ongoing

What happened

The estates of deceased Medicare Advantage enrollees allege UnitedHealth used the nH Predict AI tool to deny medically necessary post-acute care, overriding clinicians’ judgment, while allegedly knowing the tool had a roughly 90% reversal rate on appeal. A federal magistrate ordered broad discovery into UnitedHealth’s AI claims processes in 2025 and the case is proceeding.

About ai benefit & claim denials cases

Algorithmic tools used by insurers or health plans to deny medically necessary care or benefits at scale, overriding clinician judgment.

Sources

Attorneys who handle ai benefit & claim denials cases

Anand Kumar Chavakula
Maryland
Civil rights
Consumer protection / unfair practices
Draft intro email
Opens your email app with a ready-to-edit draft. Replace the bracketed prompts with your details before sending. Free — no account needed.
Benjamin Edwin Calpino
Florida
Civil rights
Consumer protection / unfair practices
Draft intro email
Opens your email app with a ready-to-edit draft. Replace the bracketed prompts with your details before sending. Free — no account needed.
Laurel LaMontagne
District of Columbia
Civil rights
Consumer protection / unfair practices
Draft intro email
Opens your email app with a ready-to-edit draft. Replace the bracketed prompts with your details before sending. Free — no account needed.
Ross Q. Panko
District of Columbia
Civil rights
Consumer protection / unfair practices
Draft intro email
Opens your email app with a ready-to-edit draft. Replace the bracketed prompts with your details before sending. Free — no account needed.
Peter Andrew Koziol
Florida
Civil rights
Consumer protection / unfair practices
Draft intro email
Opens your email app with a ready-to-edit draft. Replace the bracketed prompts with your details before sending. Free — no account needed.
Timothy B. Hyland
Virginia
Civil rights
Consumer protection / unfair practices
Draft intro email
Opens your email app with a ready-to-edit draft. Replace the bracketed prompts with your details before sending. Free — no account needed.

More ai benefit & claim denials cases →

Related cases

Kisting-Leung v. Cigna Corporation (Ongoing)

Informational summary compiled from the cited public sources. Not legal advice, not a complete case record, and not affiliated with any party. Attorney Match does not receive referral fees. Verify current status with primary sources before relying on this entry.

Estate of Lokken v. UnitedHealth Group, Inc.

AI benefit & claim denials

Ongoing

Filed Nov 14, 2023

AI system / company

UnitedHealth / NaviHealth "nH Predict" AI algorithm

Jurisdiction

United States (Minnesota)

Court / regulator

U.S. District Court, D. Minn.

Status

Ongoing

What happened

About ai benefit & claim denials cases

Algorithmic tools used by insurers or health plans to deny medically necessary care or benefits at scale, overriding clinician judgment.

Attorneys who handle ai benefit & claim denials cases

Anand Kumar Chavakula
Maryland
Civil rights
Consumer protection / unfair practices
Draft intro email
Opens your email app with a ready-to-edit draft. Replace the bracketed prompts with your details before sending. Free — no account needed.
Benjamin Edwin Calpino
Florida
Civil rights
Consumer protection / unfair practices
Draft intro email
Opens your email app with a ready-to-edit draft. Replace the bracketed prompts with your details before sending. Free — no account needed.
Laurel LaMontagne
District of Columbia
Civil rights
Consumer protection / unfair practices
Draft intro email
Opens your email app with a ready-to-edit draft. Replace the bracketed prompts with your details before sending. Free — no account needed.
Ross Q. Panko
District of Columbia
Civil rights
Consumer protection / unfair practices
Draft intro email
Opens your email app with a ready-to-edit draft. Replace the bracketed prompts with your details before sending. Free — no account needed.
Peter Andrew Koziol
Florida
Civil rights
Consumer protection / unfair practices
Draft intro email
Opens your email app with a ready-to-edit draft. Replace the bracketed prompts with your details before sending. Free — no account needed.
Timothy B. Hyland
Virginia
Civil rights
Consumer protection / unfair practices
Draft intro email
Opens your email app with a ready-to-edit draft. Replace the bracketed prompts with your details before sending. Free — no account needed.

More ai benefit & claim denials cases →