We have entered the era where AI agents are making clinical decisions, automating claim denials and recommending care timelines.

For instance, a promiment case is the Cigna PxDx algorithm case, which alleges "Cigna used PxDx to automatically review and deny over 300,000 claims." This kind of automated decision-making raises ...

A recent legal issue reflected this concern. Cigna faced a lawsuit over its AI algorithm PxDx, which allegedly denied over 300,000 claims, with physicians reviewing each in just 1.2 seconds.