lawsuitFiled

U.S. District Court, District of Minnesota v. UnitedHealth Group (nH Predict)

February 13, 2025 · United States

In Estate of Lokken v. UnitedHealth (filed 2023), the court in Feb 2025 allowed breach-of-contract and good-faith claims to proceed, alleging UnitedHealth used the nH Predict AI tool to override physicians and prematurely deny medically necessary post-acute care to Medicare Advantage members; broad discovery into its AI was ordered.

Key takeaway — how to prevent this

AI that denies insurance claims or benefits must preserve meaningful human review of medical necessity; automated mass denials draw bad-faith, breach-of-contract and class-action liability.

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