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The February 2024 ransomware attack on Change Healthcare exposed highly sensitive patient and identity information. The categories reported as potentially involved include diagnoses, prescriptions and test results, but they did not apply uniformly to every person. Public totals cannot tell you whether your records were affected or what they contained; check notices from your health plan or provider.
What information may have been exposed?
Change Healthcare, a UnitedHealth Group unit, reported that information involved in the breach could vary from person to person. The company said it could not confirm the exact data associated with each individual while its review continued. The reported categories may have included:
- Contact details: names, addresses, phone numbers and email addresses.
- Insurance information: health insurance details and related records.
- Clinical information: diagnoses, providers, prescribed medications, test results, images, care and treatment.
- Claims and payment information: claims, billing and payment details.
- Identity or financial information: Social Security numbers, driver’s license or state ID numbers, passport numbers and banking information.
These are reported potential categories, not a checklist of information confirmed exposed for every affected person. Neither the aggregate figures nor the category lists establish what was in any one person’s records.
Did the breach include medical diagnoses, prescriptions or test results?
Those categories were among the information companies said might have been compromised. In a June 21, 2024 summary, Senator Maggie Hassan’s office described possible categories including diagnoses, medication, images and test results. Change Healthcare’s reported notice also listed clinical information such as diagnoses, providers, prescriptions, test results, images, care and treatment.
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There is an important qualification about medical records. In an April 22, 2024 update, UnitedHealth Group said its initial targeted review had not found evidence that doctors’ charts or full medical histories had been exfiltrated among the data reviewed at that time. That was a dated, limited statement about the review then underway—not a statement that no clinical information was involved. Diagnoses and test results can be exposed without a complete chart or full medical history being taken.
How did the reported impact estimate change?
The figures changed as Change Healthcare continued reviewing the incident and updating federal regulators. The first public portal figure was not the final estimate.
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| Date | Reported figure | What it means |
|---|---|---|
| July 19, 2024 | 500 individuals | Change Healthcare’s initial breach report to HHS’s Office for Civil Rights (OCR) listed 500. OCR says that is the minimum number that triggers a breach-portal posting; the company was still determining the total. |
| January 24, 2025 | Approximately 130 million notices sent; approximately 190 million individuals impacted | Figures Change Healthcare reported to OCR in an update. |
| July 31, 2025 | Approximately 192.7 million individuals impacted | The later impact figure reported by Change Healthcare to OCR. |
The numbers describe an aggregate incident, not a searchable list of people or affected records. The OCR FAQ records the reporting updates and explains the initial 500-person posting threshold: HHS OCR’s Change Healthcare breach FAQ.
How can you tell whether you were affected?
Check communications from your health plan or healthcare provider, including mailed notices and messages in member or patient portals. OCR says covered entities are responsible for ensuring required notices reach affected individuals, HHS and, where required, the media; a covered entity may delegate notification tasks to its business associate. A public total cannot confirm whether your information was involved.
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UnitedHealth Group announced on April 22, 2024, that it was offering two years of free credit monitoring and identity-theft protection for impacted people. That was a dated company announcement, not confirmation that the offer remains open or applies to every reader. Check your notice or current company information for eligibility and instructions: UnitedHealth Group’s April 22, 2024 update.
Independent reader supportYour contribution helps us test, update, and keep practical guides available for everyone.What did federal regulators do?
In late February 2024, HHS OCR announced an investigation into whether protected health information had been breached and whether Change Healthcare and UnitedHealth Group complied with HIPAA Rules. OCR Director Melanie Fontes Rainer said the agency was acting “in the best interest of patients and health care providers.” The announcement describes an investigation, not a final finding of liability or a completed determination.
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HHS described Change Healthcare as a UnitedHealth Group unit affected by the cybersecurity incident and said the disruption affected healthcare and billing systems nationwide. Its announcement outlines the investigation’s scope: HHS OCR’s February 29, 2024 announcement.
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