The California insurance commissioner has begun an investigation of health insurer Aetna after a former medical director for the company admitted under oath that he never looked at patients' records in determining whether to approve or deny care.

CNN reports that after reviewing a deposition from Dr. Jay Ken Iinuma, who served as medical director for Aetna for Southern California from March 2012 to February 2015, California insurance commissioner Dave Jones expressed "outrage" at the idea that coverage was being denied without a physician reviewing patient records.

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