{"meta":{"exportedAt":"2026-11-04T13:03:56.507Z","formatVersion":2,"selection":{"q":"undisclosed-ai","system":"","harm":"","context":"","country":"","role":"","relation":"core","evidence":"","year":"2026","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":1,"coverage":{"cases":1,"countries":0,"languages":1,"unknownLocation":1,"locationPending":0,"unknownLanguage":0,"unknownDate":0,"lawsuits":0,"regulatory":0,"minors":0,"coreRelations":1,"contextualRelations":0,"mixedRelations":0,"unknownRelations":0,"relationPending":0,"relationUnknown":0},"countingNote":"Distinct public cases in this selection. People counts apply within individual cases only; cross-case person overlap has not been resolved. No population incidence estimate.","affectedCountNote":"Interpret person counts with affectedCountStatus and the reported effects. Unquantified zeros are placeholders, not a measured zero.","source":"AI incidents","publisher":"NOPE","url":"https://nope.net/incidents","license":"CC BY 4.0"},"incidents":[{"id":"2026-patient-says-ultrasound-providers-ai-phone-agent-not-disclosed-as-ai-called-to-book-a-test-their-doctor-had-not-ordered-first-person","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'An AI agent (who I did not know was an AI agent) called me today to schedule a test my doctor did not order'","relation":"supports","source_id":"s1"}],"assertion":"The poster says an AI agent, which they did not know was an AI agent, called them on 2 November 2026 to schedule a test their doctor had not ordered.","causal_attribution":"Poster's account; the poster identifies the caller as an AI agent on the strength of the receptionist's remark (c3)."},{"id":"c2","status":"reported","evidence":[{"locator":"'I just got a call from one of your employees saying I need a different test and she had my address and insurance provider wrong'","relation":"supports","source_id":"s2"},{"locator":"'Got my insurance and address wrong, also! Billing a nightmare.'","relation":"supports","source_id":"s1"}],"assertion":"The poster says the caller told them they needed a different test, had their address and insurance provider wrong, and did not know whether any of it was covered.","causal_attribution":"Poster's account of what the caller said."},{"id":"c3","status":"reported","evidence":[{"locator":"'oh yeah that’s our AI agent Vivian. She gets confused!'","relation":"supports","source_id":"s2"}],"assertion":"The poster says that when they called the ultrasound provider, the receptionist said the caller was the provider's AI agent, named Vivian, and that it gets confused.","causal_attribution":"The receptionist's identification, as relayed by the poster, is the only basis for the AI attribution."},{"id":"c4","status":"reported","evidence":[{"locator":"'Vivian did not disclose she was an AI agent.' | 'we have your insurance as Blue Cross?” I said that’s wrong.' | 'She then asked for my insurance info.' | 'I said it’s already in your system' | 'let me transfer you to the front desk'","relation":"supports","source_id":"s3"}],"assertion":"The poster says the agent did not disclose it was an AI agent, stated the wrong insurer, asked for their insurance information and, told it was already on file, said it could not access that and offered a transfer to the front desk.","causal_attribution":"Poster's account of the conversation."},{"id":"c5","status":"reported","evidence":[{"locator":"'Again, I wasn’t told it was as an AI automated call trying to schedule me.' | 'The AI was posing as a human who had spoken to my doctor and was asking for my insurance policy.' | 'I just want people to know what is happening because I was shocked.'","relation":"supports","source_id":"s4"}],"assertion":"The poster says they were not told the call was an automated AI call, that the AI presented itself as a human who had spoken to their doctor while asking for their insurance policy, and that they were shocked.","causal_attribution":"Poster's account and reaction."}],"effects":[{"label":"told by an undisclosed AI caller that they needed a test their doctor had not ordered (poster's account)","claim_id":"c2","direction":"negative"},{"label":"shock at an AI call presented as a human employee asking for insurance details (poster's account)","claim_id":"c5","direction":"negative"}],"sources":[{"id":"s1","url":"https://bsky.app/profile/did:plc:2darfo36xds4oznvip7x2ux7/post/3mzeccicda22m","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-11-03 through the public Bluesky API (app.bsky.feed.getPostThread and getAuthorFeed, HTTP 200), including the replies; no translation and no human reviewer. The URL uses the account DID; the author's handle and name are not recorded. Root post 21:45 UTC 2 Nov 2026 with 38 replies, one of them by the author.","independence_group":"bluesky-patient-ai-scheduling-call-poster"},{"id":"s2","url":"https://bsky.app/profile/did:plc:2darfo36xds4oznvip7x2ux7/post/3mzedb74fl22m","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-11-03 through the public Bluesky API (app.bsky.feed.getPostThread and getAuthorFeed, HTTP 200), including the replies; no translation and no human reviewer. The URL uses the account DID; the author's handle and name are not recorded. Quote post by the same account, 22:02 UTC 2 Nov 2026, with about 190 replies.","independence_group":"bluesky-patient-ai-scheduling-call-poster"},{"id":"s3","url":"https://bsky.app/profile/did:plc:2darfo36xds4oznvip7x2ux7/post/3mzee27cj3c2m","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-11-03 through the public Bluesky API (app.bsky.feed.getPostThread and getAuthorFeed, HTTP 200), including the replies; no translation and no human reviewer. The URL uses the account DID; the author's handle and name are not recorded. Quote post by the same account, 22:16 UTC 2 Nov 2026.","independence_group":"bluesky-patient-ai-scheduling-call-poster"},{"id":"s4","url":"https://bsky.app/profile/did:plc:2darfo36xds4oznvip7x2ux7/post/3mzee6phq4s2m","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-11-03 through the public Bluesky API (app.bsky.feed.getPostThread and getAuthorFeed, HTTP 200), including the replies; no translation and no human reviewer. The URL uses the account DID; the author's handle and name are not recorded. Quote post by the same account, 22:19 UTC 2 Nov 2026.","independence_group":"bluesky-patient-ai-scheduling-call-poster"}],"version":1,"ai_roles":["institutional_use"],"contexts":["health"],"unknowns":["Which provider and vendor operated the agent, and which test it proposed.","Whether the poster gave any insurance information and whether the address and insurance records were corrected.","Whether the billing problem the poster mentions has occurred or is anticipated.","Whether the provider has responded or changed how the agent identifies itself."],"geography":{"basis":"The posts give no place for the provider, the call or the poster, so no country is recorded.","court_countries":[],"event_countries":[],"affected_person_countries":[]},"publication":{"basis":"Published under the public-forum rule as a concrete, dated first-person account of an AI phone agent that, without disclosing it was an AI, told a patient they needed a test their doctor had not ordered and used wrong insurance and address details. The AI identification is the provider receptionist's, as the poster relays it; the account is uncorroborated and the provider is unnamed.","reviewed_on":"2026-11-04"},"ai_involvement":{"basis":"The poster says the provider's phone agent called them, said they needed a test their doctor had not ordered, stated the wrong insurer and address and asked for their insurance details, and replied to their objections by saying it could not access the records and offering a transfer; the provider's receptionist, as the poster reports, identified the caller as \"our AI agent Vivian\". The exchange answered the poster's statements in conversation. No recording, vendor or provider statement is available, so the AI identification rests on the receptionist's remark as relayed.","status":"reported"},"person_relations":["communicated_with"]},"name":"Patient says an ultrasound provider's AI phone agent, not disclosed as AI, called to book a test their doctor had not ordered (first-person)","summary":"In Bluesky posts on 2 November 2026, a patient says a caller presenting as a human employee phoned that day to schedule a test their doctor had not ordered, said they needed a different test, had their address and insurer wrong and did not know whether any of it was covered. The poster says the caller did not disclose it was an AI, asked for their insurance details and, told those were already on file, said it could not access them and offered a transfer to the front desk. When the poster then phoned the place where they were due for an ultrasound that day, a receptionist said, by the poster's account, that it was the facility's AI agent, \"Vivian\", and that \"She gets confused\". The poster says they were shocked. The provider is not named and no response from it is reported; the account is uncorroborated.","incidentDate":"2026-11-02","incidentKind":"single_event","incidentDatePrecision":"day","exposurePattern":"single_interaction","reportedDate":"2026-11-02","aiSystem":"An AI phone agent, called \"Vivian\" by the facility's receptionist according to the poster, that an ultrasound provider used for outbound scheduling calls; vendor and model not stated","aiProduct":"Unidentified AI phone scheduling agent","severity":"low","verificationStatus":"unverified","harmCategories":[],"harmOutcomes":["psychological_distress"],"harmOutcomeSummary":"The poster says an undisclosed AI phone agent told them they needed a test their doctor had not ordered, had their insurer and address wrong and asked for insurance details, that they then phoned the provider and were told by the receptionist, as they report, that it was the facility's AI agent, and that they were shocked (first-person account, uncorroborated).","frameworkFacets":[],"pathwayDirection":"inward","causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"One person: the poster, whom the AI agent called.","victimAgeRange":"unknown","platformType":"agent","outcomeStatus":"unknown","primarySourceUrl":"https://bsky.app/profile/did:plc:2darfo36xds4oznvip7x2ux7/post/3mzeccicda22m","primarySourceLabel":"Bluesky post by a patient on AI errors in their medical care, with replies, 2 Nov 2026","firstPublishedAt":"2026-11-04T03:01:13.867081+00:00","updatedAt":"2026-11-04T03:01:13.867081+00:00","scopeVersion":"facts-v3","tags":["first-person","bluesky","ai-voice-agent","health","appointment-scheduling","undisclosed-ai"]}]}