Insurance
Jul. 26, 2023
Cigna uses algorithm to deny claims, lawsuit says
Cigna’s PXDX, the abbreviation for “procedure to diagnosis,” was scrutinized by Congress earlier this year following accusations that patients had to pay for treatments that should have been covered.
Medical insurance provider Cigna uses an algorithm to automatically deny claims that do not meet preset criteria, without physicians reviewing a patient’s files as required by law, a lawsuit claims.
A statement from Cigna read, “This filing appears highly questionable and seems to be based entirely on a poorly reported article that skewed the facts,” adding that it could not confirm that the plaintiffs were impacted at all by PXDX, the onl...
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