FAQ

My claim was denied. What now?

You have the right to internal appeal and, for marketplace plans, independent external review. See appeals. About a third of internal appeals succeed.

Why does my insurer deny 30% of claims?

See why claims get denied. Most reported denials are administrative or handled by resubmission, but medical-necessity and coverage denials deserve an appeal.

Does this cover employer plans?

No. CMS only publishes this data for HealthCare.gov marketplace plans.