{ "cite": { "title": "US health insurers by claim denial rate (185 issuer records)", "url": "https://denialfacts.com/insurers", "publisher": "Axion Labs — Denial Facts", "checked": "2026-09-05", "dataset": { "version": "2026-09-05", "fixity": "sha256-70fcef553523e50058a299023fafac57763341dfadc1bbd86b956b6fe1079dd3" }, "source": { "name": "CMS Transparency in Coverage Public Use File (PY2026 release, PY2024 claims), data.healthcare.gov", "url": "https://data.healthcare.gov/" }, "rule": null, "license": "free to quote with the URL", "receipt": null }, "attribution": { "source": "Denial Facts (https://denialfacts.com) — computed from the CMS Transparency in Coverage Public Use File", "upstream": "CMS Transparency in Coverage Public Use File (PY2026 release, PY2024 claims), data.healthcare.gov — US Government public domain", "upstream_license": "US Government public domain", "facts_checked": "August 3, 2026", "license": "Free to use, including commercially, with attribution and a link to https://denialfacts.com", "operator": { "name": "Axion Labs", "email": "hello@getaxionlabs.com" }, "disclaimer": "Federal statistics and a general description of appeal rights created by federal law. Not legal, medical, or insurance advice, and no outcome is guaranteed. Your denial letter and plan documents govern your specific case." }, "count": 185, "note": "Query one with /api/answer?insurer={slug}. Combine with &state= and &reason=.", "insurers": [ { "slug": "blue-cross-and-blue-shield-of-alabama--al", "name": "Blue Cross and Blue Shield of Alabama", "state": "Alabama", "state_code": "AL", "denial_rate_pct": 19, "claims_denied": 2038603, "external_reviews_filed": 13, "page": "https://denialfacts.com/insurers/blue-cross-and-blue-shield-of-alabama--al", "answer": "https://denialfacts.com/api/answer?insurer=blue-cross-and-blue-shield-of-alabama--al" }, { "slug": "celtic-insurance-company--al", "name": "Celtic Insurance Company", "state": "Alabama", "state_code": "AL", "denial_rate_pct": 21.4, "claims_denied": 352236, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/celtic-insurance-company--al", "answer": "https://denialfacts.com/api/answer?insurer=celtic-insurance-company--al" }, { "slug": "oscar-insurance-company--al", "name": "Oscar Insurance Company", "state": "Alabama", "state_code": "AL", "denial_rate_pct": null, "claims_denied": null, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/oscar-insurance-company--al", "answer": "https://denialfacts.com/api/answer?insurer=oscar-insurance-company--al" }, { "slug": "unitedhealthcare-insurance-company--al", "name": "UnitedHealthcare Insurance Company", "state": "Alabama", "state_code": "AL", "denial_rate_pct": 17.9, "claims_denied": 1073259, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/unitedhealthcare-insurance-company--al", "answer": "https://denialfacts.com/api/answer?insurer=unitedhealthcare-insurance-company--al" }, { "slug": "moda-health-plan-inc--ak", "name": "Moda Health Plan, Inc.", "state": "Alaska", "state_code": "AK", "denial_rate_pct": 17.3, "claims_denied": 29231, "external_reviews_filed": 0, "page": "https://denialfacts.com/insurers/moda-health-plan-inc--ak", "answer": "https://denialfacts.com/api/answer?insurer=moda-health-plan-inc--ak" }, { "slug": "premera-blue-cross-blue-shield-of-alaska--ak", "name": "Premera Blue Cross Blue Shield of Alaska", "state": "Alaska", "state_code": "AK", "denial_rate_pct": 27, "claims_denied": 210082, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/premera-blue-cross-blue-shield-of-alaska--ak", "answer": "https://denialfacts.com/api/answer?insurer=premera-blue-cross-blue-shield-of-alaska--ak" }, { "slug": "antidote-health-plan-of-arizona-inc--az", "name": "Antidote Health Plan of Arizona, Inc.", "state": "Arizona", "state_code": "AZ", "denial_rate_pct": null, "claims_denied": null, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/antidote-health-plan-of-arizona-inc--az", "answer": "https://denialfacts.com/api/answer?insurer=antidote-health-plan-of-arizona-inc--az" }, { "slug": "blue-cross-and-blue-shield-of-arizona-inc--az", "name": "Blue Cross and Blue Shield of Arizona, Inc.", "state": "Arizona", "state_code": "AZ", "denial_rate_pct": 15.3, "claims_denied": 233016, "external_reviews_filed": 180, "page": "https://denialfacts.com/insurers/blue-cross-and-blue-shield-of-arizona-inc--az", "answer": "https://denialfacts.com/api/answer?insurer=blue-cross-and-blue-shield-of-arizona-inc--az" }, { "slug": "cigna-healthcare-of-arizona-inc--az", "name": "Cigna HealthCare of Arizona, Inc", "state": "Arizona", "state_code": "AZ", "denial_rate_pct": 16.2, "claims_denied": 22637, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/cigna-healthcare-of-arizona-inc--az", "answer": "https://denialfacts.com/api/answer?insurer=cigna-healthcare-of-arizona-inc--az" }, { "slug": "health-net-of-arizona-inc--az", "name": "Health Net of Arizona, Inc.", "state": "Arizona", "state_code": "AZ", "denial_rate_pct": 18.6, "claims_denied": 596289, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/health-net-of-arizona-inc--az", "answer": "https://denialfacts.com/api/answer?insurer=health-net-of-arizona-inc--az" }, { "slug": "imperial-insurance-companies-inc--az", "name": "Imperial Insurance Companies, Inc.", "state": "Arizona", "state_code": "AZ", "denial_rate_pct": 33.1, "claims_denied": 793, "external_reviews_filed": 0, "page": "https://denialfacts.com/insurers/imperial-insurance-companies-inc--az", "answer": "https://denialfacts.com/api/answer?insurer=imperial-insurance-companies-inc--az" }, { "slug": "oscar-health-plan-inc--az", "name": "Oscar Health Plan, Inc.", "state": "Arizona", "state_code": "AZ", "denial_rate_pct": 28.1, "claims_denied": 82246, "external_reviews_filed": 152, "page": "https://denialfacts.com/insurers/oscar-health-plan-inc--az", "answer": "https://denialfacts.com/api/answer?insurer=oscar-health-plan-inc--az" }, { "slug": "unitedhealthcare-of-arizona-inc--az", "name": "UnitedHealthcare of Arizona, Inc.", "state": "Arizona", "state_code": "AZ", "denial_rate_pct": 23.8, "claims_denied": 646181, "external_reviews_filed": 33, "page": "https://denialfacts.com/insurers/unitedhealthcare-of-arizona-inc--az", "answer": "https://denialfacts.com/api/answer?insurer=unitedhealthcare-of-arizona-inc--az" }, { "slug": "celtic-insurance-company--ar", "name": "Celtic Insurance Company", "state": "Arkansas", "state_code": "AR", "denial_rate_pct": 16.1, "claims_denied": 1297980, "external_reviews_filed": 0, "page": "https://denialfacts.com/insurers/celtic-insurance-company--ar", "answer": "https://denialfacts.com/api/answer?insurer=celtic-insurance-company--ar" }, { "slug": "hmo-partners-inc--ar", "name": "HMO Partners, Inc.", "state": "Arkansas", "state_code": "AR", "denial_rate_pct": 16.5, "claims_denied": 248827, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/hmo-partners-inc--ar", "answer": "https://denialfacts.com/api/answer?insurer=hmo-partners-inc--ar" }, { "slug": "qca-health-plan-inc--ar", "name": "QCA Health Plan, Inc.", "state": "Arkansas", "state_code": "AR", "denial_rate_pct": 15.4, "claims_denied": 245717, "external_reviews_filed": 0, "page": "https://denialfacts.com/insurers/qca-health-plan-inc--ar", "answer": "https://denialfacts.com/api/answer?insurer=qca-health-plan-inc--ar" }, { "slug": "qualchoice-life-health-insurance-company-inc--ar", "name": "QualChoice Life & Health Insurance Company, Inc.", "state": "Arkansas", "state_code": "AR", "denial_rate_pct": 15.6, "claims_denied": 262731, "external_reviews_filed": 0, "page": "https://denialfacts.com/insurers/qualchoice-life-health-insurance-company-inc--ar", "answer": "https://denialfacts.com/api/answer?insurer=qualchoice-life-health-insurance-company-inc--ar" }, { "slug": "usable-hmo-inc--ar", "name": "USAble HMO, Inc.", "state": "Arkansas", "state_code": "AR", "denial_rate_pct": 16.1, "claims_denied": 123118, "external_reviews_filed": 0, "page": "https://denialfacts.com/insurers/usable-hmo-inc--ar", "answer": "https://denialfacts.com/api/answer?insurer=usable-hmo-inc--ar" }, { "slug": "usable-mutual-insurance-company--ar", "name": "USAble Mutual Insurance Company", "state": "Arkansas", "state_code": "AR", "denial_rate_pct": 15.6, "claims_denied": 669702, "external_reviews_filed": 35, "page": "https://denialfacts.com/insurers/usable-mutual-insurance-company--ar", "answer": "https://denialfacts.com/api/answer?insurer=usable-mutual-insurance-company--ar" }, { "slug": "amerihealth-caritas-vip-next-inc--de", "name": "AmeriHealth Caritas VIP Next, Inc.", "state": "Delaware", "state_code": "DE", "denial_rate_pct": 28, "claims_denied": 46346, "external_reviews_filed": 0, "page": "https://denialfacts.com/insurers/amerihealth-caritas-vip-next-inc--de", "answer": "https://denialfacts.com/api/answer?insurer=amerihealth-caritas-vip-next-inc--de" }, { "slug": "celtic-insurance-company--de", "name": "Celtic Insurance Company", "state": "Delaware", "state_code": "DE", "denial_rate_pct": 28.2, "claims_denied": 6979, "external_reviews_filed": 0, "page": "https://denialfacts.com/insurers/celtic-insurance-company--de", "answer": "https://denialfacts.com/api/answer?insurer=celtic-insurance-company--de" }, { "slug": "highmark-bcbsd-inc--de", "name": "Highmark BCBSD Inc.", "state": "Delaware", "state_code": "DE", "denial_rate_pct": 19, "claims_denied": 387306, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/highmark-bcbsd-inc--de", "answer": "https://denialfacts.com/api/answer?insurer=highmark-bcbsd-inc--de" }, { "slug": "amerihealth-caritas-florida-inc--fl", "name": "AmeriHealth Caritas Florida, Inc.", "state": "Florida", "state_code": "FL", "denial_rate_pct": 25.7, "claims_denied": 20441, "external_reviews_filed": 0, "page": "https://denialfacts.com/insurers/amerihealth-caritas-florida-inc--fl", "answer": "https://denialfacts.com/api/answer?insurer=amerihealth-caritas-florida-inc--fl" }, { "slug": "avmed-inc--fl", "name": "AvMed, Inc.", "state": "Florida", "state_code": "FL", "denial_rate_pct": 27.3, "claims_denied": 118089, "external_reviews_filed": 0, "page": "https://denialfacts.com/insurers/avmed-inc--fl", "answer": "https://denialfacts.com/api/answer?insurer=avmed-inc--fl" }, { "slug": "blue-cross-and-blue-shield-of-florida--fl", "name": "Blue Cross and Blue Shield of Florida", "state": "Florida", "state_code": "FL", "denial_rate_pct": 19.1, "claims_denied": 4251990, "external_reviews_filed": 170, "page": "https://denialfacts.com/insurers/blue-cross-and-blue-shield-of-florida--fl", "answer": "https://denialfacts.com/api/answer?insurer=blue-cross-and-blue-shield-of-florida--fl" }, { "slug": "capital-health-plan--fl", "name": "Capital Health Plan", "state": "Florida", "state_code": "FL", "denial_rate_pct": 6.5, "claims_denied": 35255, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/capital-health-plan--fl", "answer": "https://denialfacts.com/api/answer?insurer=capital-health-plan--fl" }, { "slug": "centene-venture-company-florida--fl", "name": "Centene Venture Company Florida", "state": "Florida", "state_code": "FL", "denial_rate_pct": null, "claims_denied": null, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/centene-venture-company-florida--fl", "answer": "https://denialfacts.com/api/answer?insurer=centene-venture-company-florida--fl" }, { "slug": "cigna-health-and-life-insurance-company--fl", "name": "Cigna Health and Life Insurance Company", "state": "Florida", "state_code": "FL", "denial_rate_pct": 20, "claims_denied": 926080, "external_reviews_filed": 15, "page": "https://denialfacts.com/insurers/cigna-health-and-life-insurance-company--fl", "answer": "https://denialfacts.com/api/answer?insurer=cigna-health-and-life-insurance-company--fl" }, { "slug": "cigna-healthcare-of-florida-inc--fl", "name": "Cigna HealthCare of Florida, Inc.", "state": "Florida", "state_code": "FL", "denial_rate_pct": null, "claims_denied": null, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/cigna-healthcare-of-florida-inc--fl", "answer": "https://denialfacts.com/api/answer?insurer=cigna-healthcare-of-florida-inc--fl" }, { "slug": "community-care-network-inc--fl", "name": "Community Care Network Inc", "state": "Florida", "state_code": "FL", "denial_rate_pct": null, "claims_denied": null, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/community-care-network-inc--fl", "answer": "https://denialfacts.com/api/answer?insurer=community-care-network-inc--fl" }, { "slug": "florida-health-care-plan-inc--fl", "name": "Florida Health Care Plan, Inc.", "state": "Florida", "state_code": "FL", "denial_rate_pct": 17, "claims_denied": 602771, "external_reviews_filed": 36, "page": "https://denialfacts.com/insurers/florida-health-care-plan-inc--fl", "answer": "https://denialfacts.com/api/answer?insurer=florida-health-care-plan-inc--fl" }, { "slug": "health-first-commercial-plans-inc--fl", "name": "Health First Commercial Plans, Inc.", "state": "Florida", "state_code": "FL", "denial_rate_pct": 22.4, "claims_denied": 475722, "external_reviews_filed": 37, "page": "https://denialfacts.com/insurers/health-first-commercial-plans-inc--fl", "answer": "https://denialfacts.com/api/answer?insurer=health-first-commercial-plans-inc--fl" }, { "slug": "health-options-inc--fl", "name": "Health Options, Inc.", "state": "Florida", "state_code": "FL", "denial_rate_pct": 24.7, "claims_denied": 10507969, "external_reviews_filed": 153, "page": "https://denialfacts.com/insurers/health-options-inc--fl", "answer": "https://denialfacts.com/api/answer?insurer=health-options-inc--fl" }, { "slug": "molina-healthcare-of-florida-inc--fl", "name": "Molina Healthcare of Florida, Inc", "state": "Florida", "state_code": "FL", "denial_rate_pct": 23.6, "claims_denied": 341296, "external_reviews_filed": 0, "page": "https://denialfacts.com/insurers/molina-healthcare-of-florida-inc--fl", "answer": "https://denialfacts.com/api/answer?insurer=molina-healthcare-of-florida-inc--fl" }, { "slug": "oscar-health-maintenance-organization-of-florida--fl", "name": "Oscar Health Maintenance Organization of Florida", "state": "Florida", "state_code": "FL", "denial_rate_pct": null, "claims_denied": null, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/oscar-health-maintenance-organization-of-florida--fl", "answer": "https://denialfacts.com/api/answer?insurer=oscar-health-maintenance-organization-of-florida--fl" }, { "slug": "simply-healthcare-plans-inc-dba-wellpoint-florida-inc--fl", "name": "Simply Healthcare Plans Inc dba Wellpoint Florida Inc", "state": "Florida", "state_code": "FL", "denial_rate_pct": null, "claims_denied": null, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/simply-healthcare-plans-inc-dba-wellpoint-florida-inc--fl", "answer": "https://denialfacts.com/api/answer?insurer=simply-healthcare-plans-inc-dba-wellpoint-florida-inc--fl" }, { "slug": "sunshine-state-health-plan--fl", "name": "Sunshine State Health Plan", "state": "Florida", "state_code": "FL", "denial_rate_pct": 20.2, "claims_denied": 256694, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/sunshine-state-health-plan--fl", "answer": "https://denialfacts.com/api/answer?insurer=sunshine-state-health-plan--fl" }, { "slug": "unitedhealthcare-of-florida-inc--fl", "name": "UnitedHealthcare of Florida, Inc.", "state": "Florida", "state_code": "FL", "denial_rate_pct": 20.2, "claims_denied": 719832, "external_reviews_filed": 18, "page": "https://denialfacts.com/insurers/unitedhealthcare-of-florida-inc--fl", "answer": "https://denialfacts.com/api/answer?insurer=unitedhealthcare-of-florida-inc--fl" }, { "slug": "hawaii-medical-service-association--hi", "name": "Hawaii Medical Service Association", "state": "Hawaii", "state_code": "HI", "denial_rate_pct": 27.4, "claims_denied": 198069, "external_reviews_filed": 0, "page": "https://denialfacts.com/insurers/hawaii-medical-service-association--hi", "answer": "https://denialfacts.com/api/answer?insurer=hawaii-medical-service-association--hi" }, { "slug": "kaiser-foundation-health-plan-inc--hi", "name": "Kaiser Foundation Health Plan, Inc.", "state": "Hawaii", "state_code": "HI", "denial_rate_pct": 5.1, "claims_denied": 584, "external_reviews_filed": 0, "page": "https://denialfacts.com/insurers/kaiser-foundation-health-plan-inc--hi", "answer": "https://denialfacts.com/api/answer?insurer=kaiser-foundation-health-plan-inc--hi" }, { "slug": "anthem-ins-companies-inc-anthem-bcbs--in", "name": "Anthem Ins Companies Inc(Anthem BCBS)", "state": "Indiana", "state_code": "IN", "denial_rate_pct": 10.5, "claims_denied": 267110, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/anthem-ins-companies-inc-anthem-bcbs--in", "answer": "https://denialfacts.com/api/answer?insurer=anthem-ins-companies-inc-anthem-bcbs--in" }, { "slug": "caresource-indiana-inc--in", "name": "CareSource Indiana, Inc.", "state": "Indiana", "state_code": "IN", "denial_rate_pct": 18.1, "claims_denied": 638511, "external_reviews_filed": 436, "page": "https://denialfacts.com/insurers/caresource-indiana-inc--in", "answer": "https://denialfacts.com/api/answer?insurer=caresource-indiana-inc--in" }, { "slug": "cigna-health-and-life-insurance-company--in", "name": "Cigna Health and Life Insurance Company", "state": "Indiana", "state_code": "IN", "denial_rate_pct": 19.6, "claims_denied": 75221, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/cigna-health-and-life-insurance-company--in", "answer": "https://denialfacts.com/api/answer?insurer=cigna-health-and-life-insurance-company--in" }, { "slug": "coordinated-care-corporation-indiana--in", "name": "Coordinated Care Corporation Indiana", "state": "Indiana", "state_code": "IN", "denial_rate_pct": null, "claims_denied": null, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/coordinated-care-corporation-indiana--in", "answer": "https://denialfacts.com/api/answer?insurer=coordinated-care-corporation-indiana--in" }, { "slug": "unitedhealthcare-insurance-company--in", "name": "UnitedHealthcare Insurance Company", "state": "Indiana", "state_code": "IN", "denial_rate_pct": null, "claims_denied": null, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/unitedhealthcare-insurance-company--in", "answer": "https://denialfacts.com/api/answer?insurer=unitedhealthcare-insurance-company--in" }, { "slug": "avera-health-plans-inc--ia", "name": "Avera Health Plans, Inc.", "state": "Iowa", "state_code": "IA", "denial_rate_pct": null, "claims_denied": null, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/avera-health-plans-inc--ia", "answer": "https://denialfacts.com/api/answer?insurer=avera-health-plans-inc--ia" }, { "slug": "iowa-total-care-inc--ia", "name": "Iowa Total Care, Inc.", "state": "Iowa", "state_code": "IA", "denial_rate_pct": null, "claims_denied": null, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/iowa-total-care-inc--ia", "answer": "https://denialfacts.com/api/answer?insurer=iowa-total-care-inc--ia" }, { "slug": "medica-insurance-company--ia", "name": "Medica Insurance Company", "state": "Iowa", "state_code": "IA", "denial_rate_pct": 21.3, "claims_denied": 89569, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/medica-insurance-company--ia", "answer": "https://denialfacts.com/api/answer?insurer=medica-insurance-company--ia" }, { "slug": "oscar-insurance-company--ia", "name": "Oscar Insurance Company", "state": "Iowa", "state_code": "IA", "denial_rate_pct": 25.1, "claims_denied": 117430, "external_reviews_filed": 144, "page": "https://denialfacts.com/insurers/oscar-insurance-company--ia", "answer": "https://denialfacts.com/api/answer?insurer=oscar-insurance-company--ia" }, { "slug": "unitedhealthcare-plan-of-the-river-valley-inc--ia", "name": "UnitedHealthcare Plan of the River Valley, Inc.", "state": "Iowa", "state_code": "IA", "denial_rate_pct": null, "claims_denied": null, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/unitedhealthcare-plan-of-the-river-valley-inc--ia", "answer": "https://denialfacts.com/api/answer?insurer=unitedhealthcare-plan-of-the-river-valley-inc--ia" }, { "slug": "wellmark-health-plan-of-iowa-inc--ia", "name": "Wellmark Health Plan of Iowa, Inc.", "state": "Iowa", "state_code": "IA", "denial_rate_pct": 17.8, "claims_denied": 704036, "external_reviews_filed": null, "page": "https://denialfacts.com/insurers/wellmark-health-plan-of-iowa-inc--ia", "answer": "https://denialfacts.com/api/answer?insurer=wellmark-health-plan-of-iowa-inc--ia" }, { "slug": "blue-cross-and-blue-shield-of-kansas-city--ks", "name": "Blue Cross and Blue Shield of Kansas City", "state": "Kansas", "state_code": "KS", "denial_rate_pct": 20.4, "claims_denied": 20939, "external_reviews_filed": 0, "page": 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