Claim denial rates in OR
Marketplace insurers reporting in OR.
This page compares every marketplace insurer offering plans in OR 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 Oregon?
In 2024, marketplace insurers in Oregon denied 10.9% of in-network claims on average, computed from CMS Transparency in Coverage filings.
Which insurer denies the most claims in Oregon?
The ranked table on this page compares every marketplace insurer reporting in Oregon 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 Oregon?
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.