Claims year 2026, marketplace plans, insurers with over 1,000 claims.
| Insurer | Denial rate |
|---|
| Imperial Insurance Companies, Inc. | 35.6% |
| Select Health of South Carolina | 32.6% |
| Community First Insurance Plans | 30.6% |
| Harvard Pilgrim Health Care of NE | 28.8% |
| CareSource North Carolina Co. | 28.3% |
| AmeriHealth Caritas North Carolina, Inc. | 28.2% |
| Oscar Health Plan, Inc. | 28.1% |
| AmeriHealth Caritas VIP Next, Inc. | 28.0% |
| Meridian Health Plan of Michigan, Inc. | 27.7% |
| Hawaii Medical Service Association | 27.4% |
| AvMed, Inc. | 27.3% |
| Premera Blue Cross Blue Shield of Alaska | 27.0% |
| Oscar Buckeye State Insurance Corp. | 26.5% |
| UnitedHealthcare Community Plan, Inc. | 26.3% |
| Summa Insurance Company, Inc. | 26.1% |
| AmeriHealth Caritas Florida, Inc. | 25.7% |
| Oscar Insurance Company | 25.5% |
| Health Options, Inc. | 24.7% |
| Molina Healthcare of Texas, Inc. | 24.0% |
| UnitedHealthcare of Arizona, Inc. | 23.8% |
| Molina Healthcare of Florida, Inc | 23.6% |
| CareSource West Virginia Co. | 23.6% |
| UnitedHealthcare of Ohio, Inc. | 23.2% |
| Molina Healthcare of Utah | 22.9% |
| UnitedHealthcare of Oklahoma, Inc. | 22.9% |
| Health First Commercial Plans, Inc. | 22.4% |
| Superior Health Plan | 22.2% |
| MOLINA HEALTHCARE OF SOUTH CAROLINA, INC | 21.8% |
| Molina Healthcare of Ohio, Inc. | 21.7% |
| Cigna HealthCare of Texas, Inc. | 21.7% |
| Oscar Health Plan of North Carolina, Inc | 21.6% |
| Ambetter of North Carolina Inc. | 21.5% |
| Sendero Health Plans, Inc. | 21.5% |
| UnitedHealthcare of Mississippi, Inc. | 21.4% |
| Community Health Choice, Inc. | 21.4% |
| Medica Central Insurance Company | 21.3% |
| Medica Insurance Company | 21.3% |
| UnitedHealthcare of North Carolina, Inc | 21.2% |
| BlueCross BlueShield of Tennessee | 21.1% |
| Medica Health Plans | 20.9% |
| Molina Healthcare of Mississippi, Inc | 20.8% |
| Blue Cross and Blue Shield of Kansas City | 20.7% |
| Cigna Health and Life Insurance Company | 20.3% |
| UnitedHealthcare of Florida, Inc. | 20.2% |
| Sunshine State Health Plan | 20.2% |
| Highmark Blue Cross Blue Shield West Virginia | 20.1% |
| UnitedHealthcare of South Carolina, Inc. | 20.1% |
| CareSource Ohio, Inc. | 20.0% |
| Oscar Insurance Corporation of Ohio | 19.9% |
| McLaren Health Plan Community | 19.9% |
| Buckeye Community Health Plan | 19.5% |
| Blue Cross and Blue Shield of NC | 19.2% |
| Blue Cross and Blue Shield of Florida | 19.1% |
| Ambetter Health of Louisiana, Inc. | 19.1% |
| Blue Cross and Blue Shield of Alabama | 19.0% |
| University of Utah Health Insurance Plans | 19.0% |
| Highmark BCBSD Inc. | 19.0% |
| Security Health Plan of Wisconsin, Inc. | 18.9% |
| Blue Cross Blue Shield of Texas | 18.8% |
| SelectHealth, Inc. | 18.7% |
| Health Net of Arizona, Inc. | 18.6% |
| Blue Care Network of Michigan | 18.6% |
| Absolute Total Care, Inc | 18.3% |
| HMO Louisiana, Inc. | 18.1% |
| CareSource Indiana, Inc. | 18.1% |
| UnitedHealthcare Insurance Company | 17.9% |
| Wellmark Health Plan of Iowa, Inc. | 17.8% |
| UnitedHealthcare of Texas, Inc. | 17.3% |
| UnitedHealthcare of Wisconsin, Inc. | 17.2% |
| Medica Community Health Plan | 17.1% |
| CommunityCare HMO Inc. | 17.1% |
| Florida Health Care Plan, Inc. | 17.0% |
| HMO Partners, Inc. | 16.5% |
| Blue Cross Blue Shield of Oklahoma | 16.4% |
| Celtic Insurance Company | 16.3% |
| Network Health Plan | 16.3% |
| Cigna HealthCare of Arizona, Inc | 16.2% |
| Cigna HealthCare of North Carolina, Inc. | 16.1% |
| USAble HMO, Inc. | 16.1% |
| Ambetter of Magnolia Inc. | 16.0% |
| QualChoice Life & Health Insurance Company, Inc. | 15.6% |
| USAble Mutual Insurance Company | 15.6% |
| Blue Cross and Blue Shield of Nebraska | 15.6% |
| Blue Cross and Blue Shield of South Carolina | 15.5% |
| QCA Health Plan, Inc. | 15.4% |
| Wellmark of South Dakota | 15.4% |
| Blue Cross and Blue Shield of Arizona, Inc. | 15.3% |
| Medical Health Insuring Corp. of Ohio | 15.0% |
| Louisiana Health Service & Indemnity Company | 14.9% |
| Regence BlueCross BlueShield of Utah | 14.8% |
| Cox Health Systems Insurance Company | 14.6% |
| CHRISTUS Health Plan Louisiana | 14.6% |
| Scott and White Health Plan | 14.6% |
| Dean Health Plan | 14.6% |
| Moda Health Plan, Inc. | 14.3% |
| Paramount Insurance Company | 14.2% |
| Blue Cross Blue Shield of North Dakota | 13.5% |
| Blue Cross Blue Shield of Michigan Mutual Insurance Company | 13.1% |
| Blue Cross and Blue Shield of Kansas, Inc. | 12.9% |
| Blue Cross and Blue Shield of Montana | 12.5% |
| Aspirus Health Plan, Inc. | 12.0% |
| CHRISTUS Health Plan | 11.7% |
| BridgeSpan Health Company | 10.6% |
| Montana Health Cooperative | 10.5% |
| Anthem Ins Companies Inc(Anthem BCBS) | 10.5% |
| Regence BlueCross BlueShield of Oregon | 9.9% |
| Common Ground Healthcare Cooperative | 9.6% |
| MercyCare HMO, Inc. | 9.2% |
| Group Health Cooperative of South Central Wisconsin | 8.9% |
| Compcare Health Serv Ins Co(Anthem BCBS) | 8.7% |
| Taro Health Plan of Oklahoma, Inc. | 8.5% |
| Community Insurance Company(Anthem BCBS) | 8.3% |
| Quartz Health Benefit Plans Corporation | 8.2% |
| Priority Health | 7.9% |
| Healthy Alliance Life Co(Anthem BCBS) | 7.5% |
| Kaiser Foundation Healthplan of the NW | 7.3% |
| Matthew Thornton Hlth Plan(Anthem BCBS) | 7.0% |
| Capital Health Plan | 6.5% |
| HealthPartners Insurance Company | 6.5% |
| Kaiser Foundation Health Plan, Inc. | 5.1% |
| Sanford Health Plan | 4.1% |
| Providence Health Plan | 4.0% |
| Avera Health Plans, Inc. | 2.7% |