Claim denial rates in NC
Marketplace insurers reporting in NC.
This page compares every marketplace insurer offering plans in NC by how often they deny claims. For you: a low denial rate means fewer fights to get care covered; check the appeal-overturn rate too, since it shows how often denials were wrong.
Frequently asked
What is the average claim denial rate in North Carolina?
In 2024, marketplace insurers in North Carolina denied 19.9% of in-network claims on average, computed from CMS Transparency in Coverage filings.
Which insurer denies the most claims in North Carolina?
The ranked table on this page compares every marketplace insurer reporting in North Carolina by its in-network denial rate, with claim volumes so you can weigh big insurers against small ones.
Can I appeal a denied claim in North Carolina?
Yes — every marketplace plan must offer an internal appeal, and you can then request external review by an independent reviewer. The Appeals page explains the process step by step.