nH Predict is a computer program developed by naviHealth that implements an algorithm that has allegedly been used by health insurance companies including United Healthcare and Humana[1][2] to automatically deny coverage to patients.[3][4][5] It is reported to work by cross-correlating patient health records with those of other patients.[6]
It is estimated that such software automates away 50–75% of human labor that would be involved in such tasks.[7]
A class action lawsuit (Estate of Gene B. Lokken et al. v. UnitedHealth Group, Inc. et al.) was filed in November 2023 against UnitedHealth Group regarding use of this software.[8][9][10] UnitedHeath Group have stated that the lawsuit is unjustified.[9]
