Anthem Blue Cross and Blue Shield claim denials
HealthCare.gov marketplace plans, self-reported to CMS.
This page shows how often Anthem Blue Cross and Blue Shield denied health claims, why, and what happened when customers appealed. For you: a low denial rate and a high appeal-overturn rate are good signs.
Frequently asked
How often does Anthem Blue Cross and Blue Shield deny claims?
Anthem Blue Cross and Blue Shield files claim denial data with CMS under the Transparency in Coverage rule; see the charts above for the latest figures.
Do appeals of its denials succeed?
This page shows the appeal-overturn rate alongside the denial rate — a high overturn rate means many denials were reversed when customers pushed back.
Where does this data come from?
CMS Transparency in Coverage machine-readable files, self-reported by the insurer. We compute in-network denial rates from the raw counts; see the Methodology page.