Healthcare Fraud

Disputes over whether automated claim rejections constitute fraudulent misrepresentation of coverage.

Loftus v. Optum Services, Inc.
  1. Loftus v. Optum Services, Inc.
  2. Jurisdiction: United States (March 27, 2026)
  3. VictimsSarah LoftusDefendantsOptum Services, Inc.PlaintiffsSarah LoftusInvestigatorsFederal Trade Commission Bureau of Consumer ProtectionDefense AttorneysMichael D. HatcherPlaintiff AttorneysJonathan C. SingerJudgesJudge Ana C. ReyesInstitutionsUnited States District Court for the District of MinnesotaOptum Services, Inc.UnitedHealth Group
  4. Case Tags: Algorithmic Denial of Care;ERISA Breach of Fiduciary Duty;Healthcare Fraud;Medical Necessity Litigation