Terms Unconditional

Life-Health-Dental Insurance · Health Insurance · Private litigation + Data breach

UnitedHealthcare

Headline

Two findings, either of which would carry this row alone.

Two findings, either of which would carry this row alone. First: the Change Healthcare attack on UnitedHealth's own subsidiary exposed the data of roughly 192.7 million people (Change's final August 2025 estimate) - the largest healthcare data breach ever recorded anywhere in the world, more than double Anthem's previous record, and equal to well over half the US population. Second, and worse in daily terms: a class action alleges UnitedHealth's nH Predict algorithm - acquired with naviHealth and built on a database of about six million patients - decided when elderly Medicare Advantage members should stop needing rehabilitation, with an alleged 90% reversal rate on appeal. Set that against the other number in the case: only about 0.2% of denied Medicare Advantage members appeal at all. A tool that loses nine out of ten fights, pointed at people who almost never fight. A Senate investigation (Permanent Subcommittee on Investigations majority staff report, Oct 2024) found UnitedHealthcare's prior-authorization denial rate for post-acute care rose from 10.9% in 2020 to 22.7% in 2022, a rise that coincided with the company's push to automate the review process.

  • SeveritySeverity 5 of 5. Two findings, either of which would carry this row alone.
  • Evidence tierUnassigned
  • Claims confirmed2 of 15 claims confirmed against a primary source
  • Last verified2026-08-04

Case status. Private litigation; the legal tier of its sources has not been assigned yet.

Primary source. www.hipaaguide.net/change-healthcare-data-breach/ — Verified - primary source confirmed.

Last verified 96 days agoverified 96 days ago0180 days
Freshness. Last verified 96 days ago (2026-08-04); stale after 180 days.

Terms

Arbitration

Not independently confirmed this pass — standard binding arbitration + class action waiver expected for individual policyholder agreements.

Data sharing

CONFIRMED 2026 BREACH (reported to HHS June 5, 2026): initially reported as affecting 34,574 individuals, revised on June 19, 2026 to 37,384 (per breach trackers citing the HHS OCR breach portal) — specific data types not yet publicly detailed as of this research, though health-insurer breaches typically involve medical/claims information. SEPARATELY, UnitedHealthcare's SIBLING COMPANY Change Healthcare (both under parent UnitedHealth Group) suffered the MASSIVE 2024 ransomware breach already documented elsewhere in this tracker (CareFirst BlueCross BlueShield row, Insurance tab), which CareFirst itself sued over — meaning UnitedHealth Group's corporate family has now generated at least TWO separate, serious breach incidents referenced across this tracker.

Data chain: UnitedHealthcare, then EHR vendor layer.UnitedHealthcareEHR vendor layer
Who holds your data. Data chain: UnitedHealthcare, then EHR vendor layer. See cross-cutting finding 16: THE EHR LAYER — THE COMPANY HOLDING YOUR CHART IS ONE YOU NEVER SIGNED WITH.

Fees and billing

SEPARATE, UNRELATED ANTITRUST CONTEXT: UnitedHealthcare provided the DOJ with 'highly confidential' competitive data as evidence in the DOJ's SEPARATE antitrust suits blocking the proposed Aetna-Humana and Anthem-Cigna mergers — a competitor-cooperation dynamic rather than a customer-facing issue, but illustrating how the health-insurance industry's major players are also adversaries in federal antitrust litigation with each other.

Contacts

Privacy contact. Not recorded.

Legal notice. PUBLIC COMPANY (UNH). Service route: c/o General Counsel / Corporate Secretary, Eden Prairie, Minnesota — the corporate address on the SEC Form 10-K cover page is the official address of record. Confirm the exact street address on the current 10-K at sec.gov/edgar, and check the state-of-incorporation registered agent (usually Delaware; most large filers use The Corporation Trust Company or Corporation Service Company) via the Secretary of State business-entity search. A registered agent MUST accept service, which is why it is the reliable channel when a company publishes no privacy address.

Mailing address. Not recorded.

No published channel
Paper trail: none. No published channel.

Evidence

ClaimKindSupportSources
1. Either of the two findings would carry this row alone.characterizationn/anone recorded
2. Change Healthcare, a UnitedHealth subsidiary, suffered an attack.factsupportednone recorded
3. The attack exposed the data of roughly 192.7 million people (Change's final August 2025 estimate).factcontradicted1 (0 confirmed)
4. It is the largest healthcare data breach ever recorded.factsupportednone recorded
5. It is the largest healthcare breach anywhere in the world.factunsupportednone recorded
6. It is more than double Anthem's previous record.factsupportednone recorded
7. It equals well over half the US population.factunsupportednone recorded
8. A class action alleges UnitedHealth's nH Predict algorithm decided when Medicare Advantage members should stop needing rehabilitation.factunsupportednone recorded
9. UnitedHealth acquired nH Predict with naviHealth.factunsupportednone recorded
10. nH Predict was built on a database of about six million patients.factunsupportednone recorded
11. nH Predict had an alleged 90% reversal rate on appeal.factunsupported1 (1 confirmed)
12. Only about 0.2% of denied Medicare Advantage members appeal.factunsupported1 (1 confirmed)
13. A tool that loses nine of ten fights is pointed at people who almost never fight.characterizationn/anone recorded
14. A Senate investigation found post-hospital care denial rates rose from 10.9% in 2020 to 22.7% in 2022.factunsupported1 (0 confirmed)
15. The court order noted denials more than doubled after the tool went live.factunsupported1 (0 confirmed)

2 of 15 claims have a confirmed source of their own.

Sources

SourceClaimTierStatusQuote
reporting · 2025-08-07
www.hipaaguide.net/change-healthcare-data-breach/
Claim 3Unassignedcorrected“an estimated 192.7 million”
Quote basis: not recorded.
court · 2025-02-13
www.courtlistener.com/recap/gov.uscourts.mnd.211721/gov.uscourts.mnd.211721.91.0_2.pdf
Claim 11Unassignedconfirmed“Plaintiffs allege that UHC knew of nH Predict’s inaccuracies because over 90% of claim denials are reversed on appeal”
Quote basis: not recorded.
court · 2023-11-14
www.courtlistener.com/recap/gov.uscourts.mnd.211721/gov.uscourts.mnd.211721.1.0.pdf
Claim 12Unassignedconfirmed“only a tiny minority of policyholders (roughly 0.2%)1 will appeal denied claims”
Quote basis: not recorded.
noneClaim 14Unassignednot foundNo quote recorded.
Quote basis: not recorded.
court · 2025-02-13
www.courtlistener.com/recap/gov.uscourts.mnd.211721/gov.uscourts.mnd.211721.91.0_2.pdf
Claim 15Unassignednot foundNo quote recorded.
Quote basis: not recorded.

Source vault

Link status: Candidate - not yet fetched

DocumentLast fetchPDF
Privacy policy
uhc.com/privacy-policy
Not fetched yetNO (HTML only)
Terms of service
uhc.com/legal/terms-of-use
Not fetched yetNO (HTML only)
Website
unitedhealthgroup.com
Not fetched yet—
Primary source
https://www.hipaaguide.net/change-healthcare-data-breach/
Verification: Verified - primary source confirmed
Not fetched yet—

Enforcement

No enforcement actions are linked to this row.

State statute

Headquarters on file: Minnesota. Provisions of MCDPA-MN on file:

ProvisionTypeSource
Applicability Threshold
Minn. Stat. § 325O.03
thresholdsource
Right to Question Profiling Decisions — Most Explicit in Any US State
Minn. Stat. § 325O.05
hardsource
Right to List of SPECIFIC Third Parties
Minn. Stat. § 325O.05, subd. 1(h)
hardsource
Universal Opt-Out Mechanism Required
Minn. Stat. § 325O.05, subd. 3
hardsource
Enforcement — AG; 30-Day Cure for Entities with Documented Programs
Minn. Stat. § 325O.10
hardsource