Becker's Healthcare January 28, 2025
Alabama has the highest average in-network denial rate for ACA insurers, while South Dakota has the lowest, according to KFF.
KFF analyzed CMS data on claims denials and appeals for non-group qualified health plans offered on the federal exchange in 2023. Denial rates at the individual insurer-level had high variability in some states. Insurers ranked by ACA claim denial rates are here.
States ranked by average ACA claim denial...
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Topics: ACA (Affordable Care Act), CMS, Govt Agencies, Insurance, Provider, States, Survey / Study, Trends