Alabama has the highest average in-network denial rate for ACA insurers, while South Dakota has the lowest, according to KFF.
KFF analyzed CMS data on claims denials and appeals for non-group qualified health plans offered on the federal exchange in 2023. Denial rates at the individual insurer-level had high variability in some states. Insurers ranked by ACA claim denial rates are here.
States ranked by average ACA claim denial rates:
Alabama: 34%
Oklahoma: 29%
Alaska: 25%
Hawaii: 24%
Indiana: 23%
KFF analyzed CMS data on claims denials and appeals for non-group qualified health plans offered on the federal exchange in 2023. Denial rates at the individual insurer-level had high variability in some states. Insurers ranked by ACA claim denial rates are here.
States ranked by average ACA claim denial rates:
Alabama: 34%
Oklahoma: 29%
Alaska: 25%
Hawaii: 24%
Indiana: 23%
States ranked by average ACA claim denial rates
"Discover the states with the highest and lowest average ACA claim denial rates according to KFF's analysis of 2023 CMS data. See which insurers rank the highes
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