This brief analyzes federal transparency data released by the Centers for Medicare and Medicaid Services (CMS) on claims denials and appeals for non-group qualified health plans (QHPs) offered on HealthCare.gov in 2023. It finds that HealthCare.gov insurers denied nearly one out of every five claims (19%) submitted for in-network services. Information about the reasons for denials is limited, and few consumers appeal claims denials.| KFF
You can fight insurance claim denials by submitting paperwork and filing an appeal. UnitedHealthcare denies one-third of its in-network claims, making it one of the worst companies for easy bill payments.| ValuePenguin