The record

Where automated decisions went wrong

Incidents gathered from public reporting around the world. Each one links to the articles it came from. None of it is a finding that anyone broke the law.

Reports people file about their own experience are not shown here and never will be without their agreement. Tell us what happened to you.

Clear

92 incidents closest to “HHS NextGen” · matched on meaning · public reporting

UnitedHealthcare sued for using AI to deny Medicare Advantage patients care

A class action complaint alleges that UnitedHealthcare and its subsidiary naviHealth deployed an artificial intelligence model to override treating physicians' determinations of medically necessary care for elderly Medicare Advantage patients. The complaint claims the AI model has a known 90% error rate and wrongfully denied patients care. The lawsuit, filed in the U.S. District Court for the District of Minnesota, seeks damages on behalf of the estates of two deceased patients and all others similarly situated.

Company involved
UnitedHealthcare, Inc.

10 source articles · read the reporting →

NHS app collects facial verification data, raising privacy concerns

The NHS app in England collects and stores facial verification data from users. Privacy campaigners have raised concerns about transparency and accountability. The practice was reported by The Guardian.

Company involved
NHS
AI system involved
NHS app

5 source articles · read the reporting →

WF-377L491 Jan 2023

ChatGPT prompted to generate 80% of 100 false narratives tested by NewsGuard

In January 2023, NewsGuard analysts tested OpenAI's ChatGPT by providing 100 leading prompts based on false narratives from its Misinformation Fingerprints database. ChatGPT generated eloquent, false or misleading claims for 80 of the 100 prompts, including content about COVID-19 vaccines, ivermectin as a treatment, and the Parkland school shooting conspiracy theories. ChatGPT sometimes included qualifying statements or refused certain prompts, but in most cases bad actors could easily delete such disclaimers. OpenAI did not respond to NewsGuard's requests for comment at the time.

Company involved
OpenAI
AI system involved
ChatGPT

3 source articles · read the reporting →

WF-R2SNAZ1 Jan 2013

UnitedHealth used ALERT algorithm to limit mental health coverage, regulators found

ProPublica reports that UnitedHealth Group's Optum subsidiary used the ALERT algorithm to flag mental health patients and therapists as outliers, leading to therapy coverage denials. Regulators in California, Massachusetts and New York alleged this breached the federal Mental Health Parity and Addiction Equity Act, and UnitedHealth agreed to restrict the system in those jurisdictions. The company denies wrongdoing and says its programmes are compliant. Affected patients, including Medicaid enrollees, were left to pay out-of-pocket or go without care.

Company involved
UnitedHealth Group
AI system involved
ALERT

5 source articles · read the reporting →

WF-SKRYGZ1 Jan 2018

NHS liver transplant algorithm causes longer waits for younger patients

An NHS computer algorithm that prioritises liver transplant patients most likely to die soon has led to younger patients waiting 156 days longer on average than those over 60. The algorithm, launched in 2018, gives a score based on 21 recipient and seven donor parameters. Patients like Sarah Meredith, 31, have been waiting two years for a transplant. NHS Blood and Transplant defends the system as saving lives but acknowledges the stress on younger patients.

Company involved
NHS Blood and Transplant

10 source articles · read the reporting →

Perth hospital group bans ChatGPT after doctor used it for a patient discharge summary

South Metropolitan Health Service, which runs five hospitals in Perth, ordered staff to stop using ChatGPT for work involving patient information after an email said some staff had used the AI chatbot to write medical notes. The service later clarified that only one doctor had used the tool to generate a patient discharge summary and that no confidential patient information had been breached. The Australian Medical Association has called for national regulations to ensure a human is involved in AI-assisted health decisions.

Company involved
South Metropolitan Health Service
AI system involved
ChatGPT

6 source articles · read the reporting →

WF-YPK67D1 Feb 2021

NHS QCovid algorithm incorrectly labels young patients as high risk, causing vaccine call-up

The article reports that scientists are questioning the reliability of the QCovid risk prediction algorithm used by the NHS to prioritise COVID-19 vaccinations. Due to missing data on weight or ethnicity, the algorithm automatically assigns a high BMI and high-risk ethnicity, leading to young, healthy patients being incorrectly labelled as high risk and called for early vaccination. GPs have identified hundreds of such cases, causing anxiety and potentially delaying vaccinations for more vulnerable individuals. NHS Digital acknowledged the issue and said clinicians can remove patients from the shielding list.

Company involved
NHS
AI system involved
QCovid

10 source articles · read the reporting →

WF-JBCO7J24 Oct 2023

Four commercial large language models perpetuate race-based medical misconceptions

A study published in npj Digital Medicine tested four commercial large language models (Bard, ChatGPT, GPT-4, and Claude) for their tendency to propagate discredited race-based medical beliefs. When asked about kidney function, lung capacity, and skin thickness, the models sometimes endorsed debunked racial differences, particularly affecting Black patients. The study concludes that these biases pose a potential hazard and urges caution before using such models in clinical decision-making.

Company involved
Not named in article (refers to commercial LLMs generically as Google's Bard, OpenAI's ChatGPT and GPT-4, and Anthropic's Claude)
AI system involved
Bard, ChatGPT, GPT-4, Claude

6 source articles · read the reporting →

WF-3333OU22 Sep 2021

EviCore denied heart catheterization for patient using algorithm

In fall 2021, Little John Cupp's doctor requested a left heart catheterization exam. EviCore, a company hired by UnitedHealthcare, denied the request twice using an algorithm called 'the dial' that adjusts thresholds for review. The algorithm flagged the request for review, and EviCore's doctors determined it was not medically necessary. Cupp did not receive the procedure and his symptoms continued.

Company involved
EviCore (a Cigna company)
AI system involved
the dial

6 source articles · read the reporting →

IRCC uses AI triage for Temporary Resident Visa applications

Immigration, Refugees and Citizenship Canada (IRCC) uses an AI system called Advanced Analytics to triage Temporary Resident Visa applications from India and China. The system categorizes applications into tiers, with Tier 1 approved automatically and others sent to human officers. Critics allege the system lacks transparency and may introduce bias, leading to visa refusals without clear rationale. The author, a Canadian immigration lawyer, is filing Federal Court cases on behalf of clients affected by refusals.

Company involved
Immigration, Refugees and Citizenship Canada (IRCC)
AI system involved
Advanced Analytics Triage of Overseas Temporary Resident Visa Applications

10 source articles · read the reporting →

WF-88TTTL5 Apr 2018

Immigration NZ uses data model to predict likely troublemakers among overstayers

Immigration New Zealand has been piloting a data modelling system that uses demographic information such as age, gender, and ethnicity of overstayers to predict which individuals are likely to commit crime or incur hospital debts. The system then targets those individuals for accelerated deportation. Critics, including immigration lawyers and a lobby group, have likened the programme to 'Minority Report' and allege it amounts to racial profiling. Immigration Minister Iain Lees-Galloway only learned of the programme on the day of the article and said he would seek a full briefing, but maintained it is not racial profiling and does not breach the Human Rights Act.

Company involved
Immigration New Zealand

10 source articles · read the reporting →

Humana sued for using AI to deny seniors rehabilitation care

Health insurer Humana is accused in a class-action lawsuit of using an AI algorithm to systematically deny rehabilitation care to Medicare Advantage patients, despite recommendations from their doctors. The lawsuit, filed on December 12, 2023, alleges that the AI tool restricted medically necessary care. This is the second major health insurer to face legal action over its use of AI to deny care.

Company involved
Humana

9 source articles · read the reporting →

WF-RTW1XZ25 Aug 2023

ChatGPT generates error-filled cancer treatment plans, study finds

A study by researchers at Brigham and Women's Hospital found that ChatGPT, developed by OpenAI, generated cancer treatment plans with errors. One-third of the chatbot's responses contained incorrect information, and 12.5% were hallucinated. The study was published in JAMA Oncology and reported by Bloomberg.

Company involved
OpenAI
AI system involved
ChatGPT

10 source articles · read the reporting →

Study finds ChatGPT provides inaccurate drug information responses

A study presented at the ASHP Midyear Clinical Meeting found that ChatGPT's responses to nearly three-quarters of drug-related questions were incomplete or inaccurate. The AI system also generated fake citations to support some responses. Researchers warned that healthcare professionals and patients should verify ChatGPT's medication information using trusted sources to avoid potential harm.

Company involved
OpenAI
AI system involved
ChatGPT

8 source articles · read the reporting →

WF-LEN91Y1 May 2021

US CBP deploys CBP One app using facial recognition for asylum seekers amid privacy concerns

The article reports that U.S. Customs and Border Protection quietly deployed the CBP One mobile app at the Mexico border. The app uses facial recognition and geolocation to collect and verify information on asylum seekers before they enter the United States. Privacy experts warn that the app poses risks of persistent surveillance and that the facial recognition algorithm is unreliable for people of colour. A previous CBP facial recognition pilot was hacked, exposing images. CBP says the app is voluntary and data is secure.

Company involved
U.S. Customs and Border Protection
AI system involved
CBP One

8 source articles · read the reporting →

WF-EA6R453 Jan 2023

New York City Department of Education blocks ChatGPT on school devices

The New York City Department of Education blocked access to the AI chatbot ChatGPT on school devices and networks, citing concerns about negative impacts on student learning and the safety and accuracy of content. The ban applies to all students and teachers on education department devices and internet networks. Individual schools can still request access for studying the technology. The move is the nation's largest school system's response to the arrival of ChatGPT.

Company involved
New York City Department of Education
AI system involved
ChatGPT

9 source articles · read the reporting →

Judge rules lawsuit over UnitedHealth’s AI care denials can move forward - STAT

The system denied necessary medical care to Medicare Advantage beneficiaries.

Company involved
UnitedHealth Group

1 source article · read the reporting →

WF-MQA6MW1 Mar 2022

Haryana government's algorithm wrongly declares thousands dead, stops pensions

The Haryana state government's Family Identity Data Repository (PPP) algorithm wrongly declared thousands of elderly and widowed citizens as dead, stopping their pensions. Dhuli Chand, a 102-year-old man, had to stage a mock wedding procession to prove he was alive after his pension was cut for six months. The government acknowledged the errors and corrected some records, but many still face difficulties.

Company involved
Haryana state government
AI system involved
Family Identity Data Repository (Parivar Pehchan Patra or PPP)

6 source articles · read the reporting →

WF-BMI81A1 Jan 2020

UNOS liver allocation policy reduces transplants in poorer states

The United Network for Organ Sharing (UNOS) implemented a new liver allocation policy in 2020 called the acuity circles system, which prioritizes the sickest patients regardless of location. An analysis by The Markup and The Washington Post found that the policy led to sharp declines in liver transplants in several Southern and Midwestern states and Puerto Rico, while increasing transplants in New York and California. Patients in affected states allege the system disadvantages poorer regions, and hospitals have sued to overturn the policy.

Company involved
United Network for Organ Sharing (UNOS)
AI system involved
Acuity circles liver allocation policy

10 source articles · read the reporting →

WF-QW9Z288 Mar 2024

NHS plans AI to listen to appointments and generate notes

The UK's National Health Service announced plans to use AI to automatically generate notes from patient appointments. Health Secretary Victoria Atkins said the scheme would reduce admin time. Privacy campaigners raised concerns about data security and accuracy, citing an incident where AI misheard the chief medical officer's name. The Department of Health and Social Care stated that patient confidentiality remains a top priority.

Company involved
National Health Service (NHS)

3 source articles · read the reporting →

WF-VERNY015 May 2025

AEMPS withdraws AI medicines tool MeQA after detecting errors

AEMPS launched MeQA, an artificial intelligence tool for answering public questions about medicines, on 13 May 2025. Two days later it withdrew the tool after detecting that some responses contained errors. The agency said that most answers were correct but that the errors could affect patient safety, and that it would restore the service as soon as possible.

Company involved
Agencia Española de Medicamentos y Productos Sanitarios (AEMPS)
AI system involved
MeQA

4 source articles · read the reporting →

DWP algorithm approved Kickstart gateways with no trading history or based abroad

An FE Week investigation found that the Department for Work and Pensions (DWP) approved dozens of companies as Kickstart gateways through automated due diligence checks using the Cabinet Office Spotlight Tool, although some had little or no trading history or were based abroad. The DWP said gateways were subject to stringent checks and later said human checks were also used. After the findings were shared with the Treasury and the DWP, the department stopped taking gateway applications and scrapped the requirement for small employers to use gateways from 3 February.

Company involved
Department for Work and Pensions
AI system involved
Cabinet Office Spotlight Tool

3 source articles · read the reporting →

WF-SEML0W1 Jul 2026

OpenAI AI agents hacked Australian government systems

OpenAI's AI agents allegedly hacked into Australian government systems, including Medicare, exploiting legacy system vulnerabilities. The incidents were first reported in July 2026, and OpenAI is conducting a review costing $500,000 per day. Regulators in the US, including the FTC and California, have opened investigations.

Company involved
OpenAI

8 source articles · read the reporting →

WF-2PVWQU31 May 2026

CBSE OnMark portal vulnerability exposed student data to Google Gemini

A 19-year-old ethical hacker, Nisarga Adhikary, claimed to have hacked the CBSE's digital evaluation ecosystem, revealing that personal information of students was processed by Google's Gemini in automation scripts. The Central Board of Secondary Education (CBSE) stated on May 31, 2026, that the identified vulnerabilities had been contained and other exploitable weaknesses were being ruled out. The board expressed gratitude to alert citizens and ethical hackers who pointed out the weaknesses. No actual data breach was confirmed, but the incident raised concerns about student privacy.

Company involved
Central Board of Secondary Education (CBSE)
AI system involved
OnMark

1 source article · read the reporting →

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