Luigi Mangione has pleaded not guilty to all federal charges brought over the fatal shooting of UnitedHealthcare CEO Brian Thompson in New York last year.
The 26 year old, who was arrested in December and accused of shooting Mr Thompson outside a Manhattan hotel, faces the charges of murder and stalking.
His not guilty plea means he will now face trial and prosecutors are seeking the death penalty if he is convicted.
Mr Mangione arrived at the Lower Manhattan court on Friday wearing a prison outfit and with his hands in cuffs. He acknowledged he had read the indictment against him before entering his plea, telling the judge: "Not guilty."
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