Absolute Total Care denied your claim in South Carolina. Here is your deadline.
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Absolute Total Care, Inc denied 1,027,842 of 8,972,863 in-network claims in South Carolina; every one of those denials had these same two dates on it. Across South Carolina as a whole the insurers in this file denied 15.7% of in-network claims, 3,573,275 of them, and 5,791 were appealed.
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Absolute Total Care, Inc denied 11.5% of in-network claims in South Carolina, 1,027,842 claims out of 8,972,863.
Further down this page, after the free steps: the paid next step.
Insurance got denied, what to do next?
Those 1,027,842 denials are 28.8% of every in-network denial recorded in South Carolina in this release, which makes Absolute Total Care, Inc the 2nd largest source of denials of the 5 insurers reporting there. Spread across its 34 plans in the state that is about 30,231 denials per plan. 1,860 internal appeals were filed against those 1,027,842 denials. Every one of those denials carried the same two dates the tool at the top of this page works out.
Two dates matter more than anything else on this page, and they run the same in South Carolina as everywhere else. You have 180 days from the date on your denial notice to file the internal appeal, and then 4 months from the final internal denial to ask for an independent external review. If waiting would seriously jeopardize your health you can ask for both to be expedited, decided in about 72 hours. Both timeframes are federal, not your insurer's choice, 29 CFR 2560.503-1 (PDF) and 45 CFR 147.136 (PDF), in plain English at HealthCare.gov, and your own denial letter states the ones that govern your plan. The PDFs are the same sections on govinfo.gov, which serves them without a challenge page, so an automated reader can check these two dates as easily as you can.
You are not alone, and here is the measured version of that sentence: 1,027,842 in-network claims were denied by Absolute Total Care, Inc in South Carolina in a single plan year. A denial rate is a fact about an insurer's book of business. It is not a judgment about you, and it is not the last word on your claim.
- Of the 5 insurers reporting a denial rate in South Carolina, Absolute Total Care, Inc is the fifth highest at 11.5%. The highest in the state is 29.9% and the lowest is 11.5%.
- That is 4.2 percentage points below the 15.7% national average across this dataset, and 4.2 points below the South Carolina average of 15.7%.
- Behind the percentage: 8,972,863 in-network claims were processed under 34 plans in South Carolina, and 1,027,842 of them came back denied.
- For every 10,000 claims Absolute Total Care, Inc denied, about 18 came back as an internal appeal. The other 9,982 stopped at the letter.
- Of the internal appeals it did receive, Absolute Total Care, Inc overturned 58.23%, 1,083 claims that started life as a no.
- 15 of those denials went on to independent external review, the stage whose decision the plan is required by law to accept. Nationally 22.2% (1,092 of 4,918; interval 22.2-23.8% for counts CMS withheld; 32.6% without SelectHealth) of external reviews are overturned.
- Its most-recorded denial reason is referral required at 18.2% of its categorized denials, against 9.6% nationally, a heavier share than the country as a whole. That is the denial mix, not an outcome rate.
- Absolute Total Care, Inc accounts for 28.8% of every in-network claim denied in South Carolina in this file.
- By raw volume it is the 20th largest source of denials among the 135 insurer-state records in the file that report one.
- Put another way: one independent external review was filed for every 68,523 claims Absolute Total Care, Inc denied in South Carolina.
- After that, its second-most-recorded reason is administrative reason, 215,412 claims, 17.2% of its categorized denials.
- Third on its own list is service excluded from the plan, 214,122 claims, 17.1% of what Absolute Total Care, Inc categorized in South Carolina. Between them the top three account for 52.5% of its categorized denials.
- Where Absolute Total Care, Inc differs most from the national mix is not medically necessary: 17% of its categorized denials in South Carolina against 5.5% across the file.
- Read the other way round: 7,945,021 of those 8,972,863 in-network claims were paid, 88.5% of everything Absolute Total Care, Inc processed in South Carolina.
- Spread across the 34 plans it reports in South Carolina, that is about 30,231 denied claims per plan, on about 263,908 claims processed per plan.
- Its reason columns add up to 1,252,856 categorized rows against 1,027,842 denials, 121.9% of them, and every reason share on this page is a share of that first figure rather than of the second.
- Its smallest recorded category in South Carolina is provider out of network, 30,918 claims, 2.5% of what Absolute Total Care, Inc categorized there.
- Against the file as a whole, this one record is 1.2% of the 83,907,852 in-network claim denials reported by every issuer in it.
- Find the reason code on your denial letter. The reason Absolute Total Care, Inc records most often in South Carolina is referral required, but yours may be one of the other 8, copy the exact wording and code off your own letter tonight, because that sentence is what your appeal has to answer.
- Ask Absolute Total Care, Inc in South Carolina for the clinical criteria they judged you against. Under 29 CFR 2560.503-1 they have to hand you the claim file and the policy they applied, free, on request, and you cannot argue with a checklist you have never read.
- Put both deadlines on your calendar before you go to bed. 180 days from the date on the letter for the internal appeal, 4 months from the final internal denial for external review. The free calculator on this page turns your date into the two calendar dates in about ten seconds. Absolute Total Care, Inc overturned 58.23% of the internal appeals it did receive, 1,083 claims, so the stage you are about to start is not decorative.
None of those three steps costs anything. Anyone charging you to do them is selling you something you can do yourself in twenty minutes.
How that compares
| Denial rate | Rate | Difference |
|---|---|---|
| Absolute Total Care, Inc | 11.5% | , |
| South Carolina average | 15.7% | -4.2 pts |
| National average (this dataset) | 15.7% | -4.2 pts |
Absolute Total Care, Inc sits at or below the national average across this dataset. A denial rate is a property of the insurer's book of business, coding practice, plan design, the population it covers, not evidence about the merits of any one claim, including yours.
What happened to appeals
| Stage | Filed | Overturned |
|---|---|---|
| Internal appeal (to Absolute Total Care, Inc) | 1,860 | 58.23% |
| External review (independent) | 15 | not reported |
The gap nobody escalated
1,027,842 claims denied. 1,860 internal appeals filed. 15 reached independent external review. Nationally 22.2% (1,092 of 4,918; interval 22.2-23.8% for counts CMS withheld; 32.6% without SelectHealth) of external reviews are overturned and the decision binds the plan.
That is arithmetic from the reported figures, not a prediction: nobody can say what those specific denials would have done at review, because they never got there. What the numbers do establish is that the binding stage was almost entirely unused here.
What that record means for your own Absolute Total Care, Inc letter, and by when. Absolute Total Care, Inc overturned 58.23% of the 1,860 internal appeals its South Carolina members filed against 1,027,842 denials, and 15 of those South Carolina denials went on to the independent stage whose decision binds the plan, Absolute Total Care, Inc's own rows in the plan-year 2027 release of the CMS Transparency in Coverage file, read November 4, 2026 (data.healthcare.gov). Whichever way that lands, nobody files the appeal for you, and the filing runs on a clock set by which plan you hold: an employer or Marketplace plan gives you at least 180 days from the denial notice to file the internal appeal (29 CFR 2560.503-1(h)(3)(i), carried onto individual-market coverage by 45 CFR 147.136(b)(3)(i)), while Medicare Advantage gives you 65 calendar days from the date of its notice (CMS, 42 CFR 422.582(b)) and Medicaid managed care 60 calendar days from the date on the notice (42 CFR 438.402(c)(2)(ii)), both stages free, and the three steps above are the whole of what to do tonight, so take the date printed on your Absolute Total Care, Inc notice and file well inside whichever of those windows is yours. The free steps are above; the $29 kit is the same clock with the letters pre-filled for Absolute Total Care, Inc in South Carolina. One payment. No subscription. No cut of your claim.
Absolute Total Care, Inc inside South Carolina
Your denial did not happen in a national average. It happened in a state market, alongside 5 other insurers reporting into the same federal file, and these are that market's own figures.
- Across the whole of South Carolina, the 6 insurers reporting in this file processed 22,792,856 in-network claims and denied 3,573,275 of them, a state denial rate of 15.7%. Absolute Total Care, Inc is one of those 6.
- That puts South Carolina 17th of 29 states by denial rate, 0 points above the 15.7% national average, before you get to what Absolute Total Care, Inc did inside it.
- South Carolina recorded 5,791 internal appeals against those denials: one appeal for every 617 claims the state's insurers refused. Absolute Total Care, Inc's own ratio is one for every 553.
- Independent external review was reached 261 times in the whole of South Carolina, once for every 13,691 denials, against one in 17,061 nationally. 15 of those South Carolina filings came from Absolute Total Care, Inc's denials.
- Of the South Carolina external reviews that were filed, 144 were overturned, 55.2%. That percentage is measured on 261 reviews, which is why the count beside it matters more than the rate does when you are deciding whether to file against Absolute Total Care, Inc.
- The reason South Carolina's insurers record most often is other reasons, 1,320,114 claims, 29.6% of the state's categorized denials. Absolute Total Care, Inc records referral required most often instead, which is the argument your letter will need to answer.
- The other insurers a South Carolina reader could have bought from run from 29.9% (Select Health of South Carolina) to 16.5% (InStil Health Insurance Company). Absolute Total Care, Inc at 11.5% sits below all of them.
- Put the two together and Absolute Total Care, Inc is responsible for 28.8% of every in-network claim denied in South Carolina in this release, from 39.4% of the claims the state's insurers processed.
- Every South Carolina figure in this section is that state's own row in the same federal file Absolute Total Care, Inc's numbers above come from, CMS Transparency in Coverage Public Use File (PY2027 release, PY2025 claims), data.healthcare.gov — US Government public domain, and the full South Carolina page is free at /states/south-carolina.
What Absolute Total Care, Inc denies most
The most common denial reason recorded for Absolute Total Care, Inc plans in South Carolina is referral required. How that denial is beaten →
| Denial reason | Claims | Share | National share |
|---|---|---|---|
| Referral required | 228,496 | 18.2% | 9.6% |
| Administrative reason | 215,412 | 17.2% | 17.2% |
| Service excluded from the plan | 214,122 | 17.1% | 13.4% |
| Not medically necessary | 212,578 | 17% | 5.5% |
| Other reasons | 177,822 | 14.2% | 32.4% |
| Benefit limit reached | 103,250 | 8.2% | 4.9% |
| Member not covered | 70,258 | 5.6% | 7.9% |
| Provider out of network | 30,918 | 2.5% | 9% |
The last column is each reason's share of all categorized denials nationally, so you can see where Absolute Total Care, Inc's mix in South Carolina differs from everyone else's. This is denial mix, not overturn rate by reason, the federal file does not report appeal outcomes broken down by denial reason, and we do not imply otherwise.
Put the date from your notice in and get the two calendar dates, with the days remaining.
Runs entirely in your browser, the date you type is never sent to us and never stored. Open the full calculator →
Or let the $29 Appeal Kit date each step and write the claim-file and external-review requests.
The three steps at the top of this page are the whole of what you have to do tonight. The longer version, what the internal appeal has to contain, how the independent stage works, and how to ask for expedited handling when waiting would seriously jeopardize your health, is published free here. For what it is worth on this page specifically: Absolute Total Care, Inc overturned 58.23% of the internal appeals it received.
Questions
Is Absolute Total Care, Inc's denial rate in South Carolina high?
11.5% against a national average of 15.7% across the plans in this dataset. It is at or below average. A denial rate describes the insurer, not the merits of your claim.
How many people appealed an Absolute Total Care, Inc denial in South Carolina, and how many won?
1,860 internal appeals were filed against 1,027,842 denials, and 58.23% of them were overturned (1,083 claims). 15 went on to independent external review.
How does Absolute Total Care, Inc compare with other insurers in South Carolina?
Of the 5 insurers in South Carolina with a reported denial rate, Absolute Total Care, Inc ranks 5 highest at 11.5%. The highest in South Carolina is Select Health of South Carolina at 29.9%; the lowest is Absolute Total Care, Inc at 11.5%.
What does Absolute Total Care, Inc deny most often in South Carolina?
Referral required, 228,496 claims, 18.2% of this issuer's categorized denials, against 9.6% nationally. This is the denial-reason mix; the federal file does not report overturn rates by reason.
How long do I have to appeal an Absolute Total Care, Inc denial in South Carolina?
Generally 180 days from the date on the denial notice to file the internal appeal, then generally four months from the final internal denial to request independent external review. Expedited review, decided in about 72 hours, is available where delay would seriously jeopardize your health. Those timeframes are federal, so they are identical for every insurer reporting in South Carolina, Absolute Total Care, Inc included, what varies by state is who runs the independent review at the end. Your own denial letter states the deadlines that govern your plan; that letter is the authority.
Does appealing an Absolute Total Care, Inc denial in South Carolina cost anything?
The internal appeal to Absolute Total Care, Inc is free. External review is free under the HHS-administered federal process; where an issuer uses a contracted independent review organization or a state process, any fee is capped at $25 per review. Nobody in South Carolina can be charged more than that to file one.
Can Absolute Total Care, Inc ignore an external review decision in South Carolina?
No, and that is the whole point of the stage. External review decisions are binding on the plan by law, which is what makes the 15 external reviews recorded against 1,027,842 Absolute Total Care, Inc denials in South Carolina the striking number on this page.
Absolute Total Care, Inc sits at 11.5% in South Carolina against 15.7% nationally, and that is the whole of what this page can honestly tell you about your own claim. We are not going to tell you that you will win. This page prints the insurer's own reported numbers whichever way they fall. If what it says does not match the letter in your hand, write to us and we will correct the page.
Axion Labs · hello@getaxionlabs.comEverything you need for your Absolute Total Care, Inc appeal in South Carolina: your two deadlines, the argument that fits your denial reason, the letters, a brief for your doctor on what the reviewer checks, and the external review request. One payment. No subscription. No cut of your claim. Opens on screen the moment you pay. 14-day refund, no questions, one email to hello@getaxionlabs.com.
The Absolute Total Care, Inc figures on this page, the 11.5% denial rate, the 1,027,842 denials and the 15 external reviews, are this issuer’s own reported rows in that file.
Counts: CMS Transparency in Coverage Public Use File (PY2027 release, PY2025 claims), data.healthcare.gov — US Government public domain. Rights and timeframes: 29 CFR 2560.503-1 (180 days, and your free right to the claim file) and 45 CFR 147.136 (4 months, and what qualifies), explained at HealthCare.gov. Expedited review is decided in about 72 hours under both sections.
Reading either regulation from a script rather than a browser: eCFR answers automated fetches with a challenge page, so the same two sections are mirrored as government PDFs at govinfo.gov (29 CFR 2560.503-1) and govinfo.gov (45 CFR 147.136).