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.
116 incidents closest to “Gainwell program integrity services” · matched on meaning · public reporting
The AI generated fabricated legal citations that were submitted to the bankruptcy court.
1 source article · read the reporting →
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.
5 source articles · read the reporting →
The AI system generated fake legal citations that were included in a court filing, misleading the court and opposing counsel.
1 source article · read the reporting →
The AI generated false legal quotations that were submitted to the court in a legal brief.
1 source article · read the reporting →
The AI generated fictitious legal citations that were submitted to the court in a legal filing.
1 source article · read the reporting →
An engineer known as STS 3D created a robotic sentry rifle that uses OpenAI's Realtime API to aim and fire a rifle in response to voice commands. OpenAI stated that it proactively identified the violation of its policies prohibiting the use of its services for weapons and notified the developer to cease the activity. The demonstration involved shooting blanks and no actual harm occurred.
4 source articles · read the reporting →
Emeritus professor James Guthrie of Macquarie University used Google's Bard AI to generate false allegations against Big Four accounting firms in submissions to an Australian parliamentary inquiry into consultants' ethics. Guthrie later apologized and claimed sole responsibility for the errors. The Big Four firms have denied the allegations.
5 source articles · read the reporting →
Good Daily Inc., run by Matthew Henderson, operates hundreds of AI-generated local newsletters across the U.S. that aggregate and summarize news from local outlets. The newsletters use large language models without disclosing this to subscribers, and feature fabricated testimonials. Some readers reported being signed up without their consent. Local news outlets have criticized the network for not driving meaningful traffic and for undermining trust.
3 source articles · read the reporting →
The Office of the Privacy Commissioner of Canada (OPC) has launched an investigation into OpenAI, operator of the ChatGPT chatbot, in response to a complaint alleging the collection, use, and disclosure of personal information without consent. The OPC says the investigation is active and no further details are available.
9 source articles · read the reporting →
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.
6 source articles · read the reporting →
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.
10 source articles · read the reporting →
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.
9 source articles · read the reporting →
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.
8 source articles · read the reporting →
A study published in Scientific Reports evaluated the Cigna StressWaves Test (CSWT), an AI tool that claims to assess psychological stress from speech. The study found that the CSWT had poor test-retest reliability and poor validity compared to the Perceived Stress Scale. The authors warned that widespread availability of the tool could lead to misleading results and negative consequences for users making healthcare decisions. Cigna has not publicly responded to the findings.
4 source articles · read the reporting →
In January 2021, the California Employment Development Department used Thompson Reuters automated batch review software to flag 1.1 million unemployment claims as potentially fraudulent. EDD stopped payments on those claims without prior notice. Later, over 600,000 were confirmed as legitimate after claimants used ID.me to verify their identity. The incident highlights the trade-off between fraud prevention and timely benefit access.
7 source articles · read the reporting →
EvenUp, a legal tech startup valued at $1 billion, uses AI to draft personal injury demand letters. Former employees revealed that the AI system frequently makes errors, including missing injuries and fabricating medical conditions. The company defends its hybrid approach with human oversight, but critics allege overpromised AI capabilities.
6 source articles · read the reporting →
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.
10 source articles · read the reporting →
OpenAI suspended the developer of a bot that used ChatGPT to impersonate Democratic presidential candidate Dean Phillips. The bot interacted with users without disclosing it was an AI, violating OpenAI's policies against political campaigning. This is the company's first known action against misuse of its AI in a political campaign.
5 source articles · read the reporting →
Baltimore City Public Schools uses GoGuardian Beacon software to monitor student laptops for signs of suicide. Since March 2021, the system has flagged 786 alerts, with nine students taken to emergency rooms. Privacy advocates warn the monitoring could lead to disciplinary actions, outing of LGBTQ students, and disproportionately affect disadvantaged students. School officials defend the practice as a safeguard.
10 source articles · read the reporting →
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.
3 source articles · read the reporting →
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.
8 source articles · read the reporting →
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.
1 source article · read the reporting →
A U.S. District Court judge ruled that Tennessee's TennCare Connect system, built by Deloitte for over $400 million, illegally denied thousands of low-income residents and people with disabilities Medicaid and disability benefits due to programming and data errors. The system automatically terminated coverage without properly considering eligibility for all available programs. A class action lawsuit filed in 2020 resulted in the ruling.
10 source articles · read the reporting →
Advocacy groups filed a complaint with the Federal Trade Commission alleging that Deloitte's eligibility software, TIERS, used by Texas Medicaid, wrongly disenrolled qualified recipients due to glitches. Nearly 1.8 million Texans lost coverage after the pandemic pause ended, with many errors attributed to procedural issues but some linked to system malfunctions. Deloitte denies the claims, while the state says it restored care for at least 90,000 people. The FTC has not yet responded to the complaint.
6 source articles · read the reporting →
