Question 1

How often does Boston Medical Center Health Plan, Inc. deny claims?

Accepted Answer

Boston Medical Center Health Plan, Inc. files claim denial data with CMS under the Transparency in Coverage rule; see the charts above for the latest figures.

Question 2

Do appeals of its denials succeed?

Accepted Answer

This page shows the appeal-overturn rate alongside the denial rate — a high overturn rate means many denials were reversed when customers pushed back.

Question 3

Where does this data come from?

Accepted Answer

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.

Boston Medical Center Health Plan, Inc. claim denials

Plans offered in