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.

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116 incidents closest to “Medicaid eligibility redetermination and call-centre services” · matched on meaning · public reporting

Teething problems in Mater Dei's medicine robots addressed

The Malta Union for Midwives and Nurses claimed that a €23 million investment in two computerised drug administration robots, Mario and Sophia, at Mater Dei Hospital had resulted in a complete failure. However, sources within the Health Ministry said that most teething problems have been addressed and that the supplier has not been paid yet. They reported that out of over 1,700 medication rounds, only four required a contingency plan.

Company involved
Mater Dei Hospital
AI system involved
Mario and Sophia

6 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-YDH39P1 Jan 2013

Swedish welfare agency's AI system flags marginalized groups for fraud investigations

Försäkringskassan, Sweden's Social Insurance Agency, uses an AI risk-scoring system to flag welfare applicants for fraud investigations. The system disproportionately targets women, individuals with foreign backgrounds, low-income earners, and those without university degrees, according to an investigation by Lighthouse Reports and Svenska Dagbladet. Amnesty International has called for the system to be discontinued, citing violations of the right to equality and non-discrimination.

Company involved
Försäkringskassan (Swedish Social Insurance Agency)

6 source articles · read the reporting →

WF-ID19SZ1 Jan 2012

Dutch government to refund over 10,000 students over discriminatory DUO fraud algorithm

The Dutch government has pledged to refund over 10,000 students who were unjustly flagged for student finance fraud by a discriminatory algorithm used by the Education Executive Agency (DUO). The algorithm, implemented in 2012, used criteria that disproportionately targeted students from immigrant backgrounds, particularly those of Turkish and Moroccan descent. Following investigations by the Dutch Data Protection Authority and an independent report by PwC, the algorithm was suspended in July 2023 and replaced with a random-sampling system. The government has allocated 61 million euro for refunds.

Company involved
Education Executive Agency (DUO)
AI system involved
DUO fraud detection system

9 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 →

WF-9VIXU423 Mar 2026

Woman denied state welfare card groceries after face scan fails

A grandmother rode her motorcycle several kilometres to a shop in Sapphaya district, Chai Nat province, to use her state welfare card to buy groceries for her family. After selecting items, she failed repeated facial recognition scans because her ID card photo was years old and no longer matched her appearance. She left the shop empty-handed and in tears.

Company involved
Government of Thailand (state welfare card system)

2 source articles · read the reporting →

DWP algorithm mistakenly flags 200,000 Housing Benefit claimants for fraud review

The UK Department for Work and Pensions (DWP) uses an algorithm to flag Housing Benefit claimants for possible fraud or error. According to a Big Brother Watch investigation, the algorithm has mistakenly flagged 200,000 innocent people, subjecting them to intrusive reviews. Only one in three flagged cases actually had errors, compared to two in three during the pilot. The DWP has spent £4.4 million on these pointless checks.

Company involved
Department for Work and Pensions (DWP)

6 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-1UJHJB1 Jan 2019

Tennessee's TennCare Connect algorithm illegally denied thousands Medicaid benefits

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.

Company involved
TennCare (Tennessee Medicaid)
AI system involved
TennCare Connect

10 source articles · read the reporting →

WF-15KEYQ1 Apr 2023

Deloitte software glitches wrongly remove Texans from Medicaid

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.

Company involved
Texas Health and Human Services Commission
AI system involved
TIERS

6 source articles · read the reporting →

WF-4DB49L1 Jan 2026

ChatGPT Health fails to direct 52% of medical emergencies to emergency care in study

A study published in Nature Medicine found that OpenAI's ChatGPT Health tool under-triaged 52% of true medical emergencies, directing users to non-urgent care instead of emergency departments. The AI also misclassified 35% of non-urgent cases. Researchers at Mount Sinai conducted 960 tests across 60 clinical scenarios, noting the tool's susceptibility to anchoring bias when symptoms were minimized. The study highlights potential safety concerns as millions use AI for health guidance.

Company involved
OpenAI
AI system involved
ChatGPT Health

4 source articles · read the reporting →

WF-Y1WBTU22 Mar 2022

Citizens Advice finds ethnicity penalty in car insurance pricing

Citizens Advice conducted exploratory research into car insurance pricing and found that people of colour may be paying £250 more per year than White people. The research suggests that areas with large communities of colour may be identified as more risky by algorithms, even when objective risk factors are controlled. Citizens Advice has called on the Financial Conduct Authority to investigate the issue.

9 source articles · read the reporting →

WF-UF6BMA1 Jan 2018

TransUnion AI tenant screening denied 75-year-old man apartment due to mistaken littering conviction

Chris Robinson, then 75, applied for a senior living apartment in California. The property manager used an AI screening program from TransUnion, which assigned him a low score based on a mistaken conviction for littering that belonged to a different person with the same name in Texas. Robinson lost the apartment and his application fee. A federal class-action lawsuit against TransUnion moved toward a $11.5 million settlement in 2023.

10 source articles · read the reporting →

WF-Q6RGYB1 Nov 2021

DWP suspends benefits for Bulgarian nationals using risk review system

The Department for Work and Pensions (DWP) used a 'risk review' unit to suspend universal credit benefits for dozens of Bulgarian nationals, many of whom are single mothers working part-time. The suspensions were made without explanation, leaving claimants without income, forcing some to use food banks and face eviction. An MP raised concerns that the system unfairly targets claimants based on their nationality, but the DWP denied the allegations, stating the risk review team investigates potential criminal activity and is not linked to nationality.

Company involved
Department for Work and Pensions

6 source articles · read the reporting →

WF-53EQUB1 Jun 2019

Security Health Plan used AI to cut off nursing home care for 85-year-old woman

Frances Walter, an 85-year-old woman with a shattered shoulder, had her nursing home care payment cut off by Security Health Plan after an algorithm predicted she would recover in 16.6 days. The algorithm, nH Predict from NaviHealth, did not account for her severe pain and allergy to pain medicine. She was forced to spend her life savings and enroll in Medicaid while fighting the denial. A federal judge later ruled the denial was speculative and she was owed thousands of dollars.

Company involved
Security Health Plan
AI system involved
nH Predict

1 source article · read the reporting →

WF-P9E72631 Dec 2021

Greek Data Protection Authority fines Ministry of Migration and Asylum for AI surveillance systems

The Hellenic Data Protection Authority (HDPA) imposed an administrative fine of €175,000 on the Ministry of Migration and Asylum (MMA) for GDPR violations related to the 'Centaur' and 'Hyperion' programmes. These systems use AI behavioral analytics, CCTV, drones, and biometric data to monitor and control access to reception facilities for asylum seekers on Greek islands. The HDPA found that the MMA failed to conduct proper Data Protection Impact Assessments and did not cooperate with the authority. The MMA has been ordered to comply with GDPR within three months.

Company involved
Ministry of Migration and Asylum
AI system involved
Centaur and Hyperion programmes

10 source articles · read the reporting →

WF-AYLKD31 Dec 2020

NHS faces legal action over Palantir data contract extension

The NHS is being taken to court by campaign group Open Democracy over its contract with data firm Palantir. The legal action alleges that the extension of Palantir's involvement in analysing NHS patient data for pandemic response and beyond lacked a proper Data Protection Impact Assessment. The contract, initially an emergency response, was extended for two years at a cost of £23.5m. The case is pending.

Company involved
NHS
AI system involved
Palantir data analysis platform

10 source articles · read the reporting →

WF-04DJR81 Jun 2020

Kmart's facial recognition system for refund fraud found unlawful by Privacy Commissioner

Kmart Australia deployed facial recognition technology in 28 stores from June 2020 to July 2022, capturing biometric data of every customer entering the stores and those at returns counters to detect refund fraud. The system collected sensitive information without notifying customers or obtaining their consent. The Australian Privacy Commissioner found that Kmart breached the Privacy Act, as the exemption for unlawful activity did not justify the indiscriminate and disproportionate collection of biometric data from thousands of individuals. Kmart has ceased using the system and cooperated with the investigation.

Company involved
Kmart Australia Limited

7 source articles · read the reporting →

Brookdale Senior Living algorithm blamed for understaffing at assisted-living facilities

Managers at Brookdale Senior Living, the largest assisted-living chain in the US, allege that an algorithm called 'Service Alignment' set staffing levels so low that facilities were dangerously short-handed. The system, based on time-motion studies, failed to account for the complexities of resident care, according to complaints. Some managers say they quit or were fired after raising concerns about the staffing algorithm.

Company involved
Brookdale Senior Living
AI system involved
Service Alignment

1 source article · read the reporting →

WF-E5X8GK1 Jan 2017

University of Chicago Medical Center sued over sharing patient data with Google

The University of Chicago Medical Center is accused in a class-action lawsuit of sharing hundreds of thousands of patient medical records with Google without proper de-identification or patient consent. The data, from patients treated between 2009 and 2016, allegedly included dates and provider notes that could allow re-identification. The lawsuit claims Google sought the records to develop its own electronic health record system and predictive models. The hospital and Google deny wrongdoing, stating the research partnership was legal and compliant with HIPAA.

Company involved
University of Chicago Medical Center

1 source article · read the reporting →

Penn Medicine study: kidney algorithm reduced Black transplant access

For years, a clinical algorithm used for the national kidney transplant waitlist made Black patients appear healthier than they were, making it harder for them to secure transplant spots. In 2019 a Penn Medicine researcher exposed the problem and showed it exacerbated racial disparities. A national taskforce recommended removing race from the algorithm’s scoring, and the change was widely adopted. Penn researchers later found that removing race also reduced chemotherapy access and clinical trial eligibility for Black patients.

AI system involved
kidney function algorithm

1 source article · read the reporting →

WF-MR0Q4G1 Sep 2018

U.S. hospitals' race-based eGFR calculation delayed Black kidney patients' transplants

For years, U.S. transplant hospitals used a race-based version of the eGFR equation to estimate Black patients' kidney function. The adjustment inflated Black patients' readings, delaying their referral to the kidney transplant waitlist and leaving some to die or deteriorate on dialysis. After years of advocacy, the United Network for Organ Sharing prohibited the race-based calculation in 2022 and required transplant programmes to revise affected patients' waiting times.

Company involved
U.S. transplant hospitals
AI system involved
eGFR (estimated glomerular filtration rate)

2 source articles · read the reporting →

Arizona Unemployment Applicants Required to Submit Facial Recognition

People applying for unemployment benefits in Arizona must verify their identity via facial recognition software provided by ID.me. If the system fails to match a selfie to a photo ID, applicants can be denied benefits unless they successfully complete a video chat with a referee. A class-action lawsuit filed in June 2021 alleges that the practice violates due process rights and discriminates against people of colour.

Company involved
Arizona Department of Economic Security
AI system involved
ID.me

1 source article · read the reporting →

WF-CH74K221 Mar 2023

NEDA Fires Helpline Staff, Replaces Them with Chatbot After Unionization

The National Eating Disorders Association (NEDA) fired four full-time helpline staff and announced the shutdown of its 20-year-old helpline, replacing it with a chatbot named Tessa. The staff had recently unionized and won an NLRB election, leading to allegations that the move was union busting. NEDA claims the chatbot, a rule-based system developed by Washington University, is a separate program to better serve the community, but the union and critics argue it cannot replace human empathy and may cause irreparable harm. The helpline is set to end on June 1, 2023, with volunteers asked to become testers for the chatbot.

Company involved
National Eating Disorders Association (NEDA)
AI system involved
Tessa

10 source articles · read the reporting →

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