Boston Medical Center denied your claim in New Hampshire. Here is your deadline.
Put in the date on your Boston Medical Center Health Plan, Inc. notice and get both federal deadlines as calendar dates.
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Boston Medical Center Health Plan, Inc. denied 3,681 of 25,401 in-network claims in New Hampshire; every one of those denials had these same two dates on it. Across New Hampshire as a whole the insurers in this file denied 8% of in-network claims, 158,490 of them, and 443 were appealed.
Or let the $29 Appeal Kit date each step and write the claim-file and external-review requests.
Boston Medical Center Health Plan, Inc. denied 14.5% of in-network claims in New Hampshire, 3,681 claims out of 25,401.
Further down this page, after the free steps: the paid next step.
Insurance got denied, what to do next?
Those 3,681 denials are 2.3% of every in-network denial recorded in New Hampshire in this release, which makes Boston Medical Center Health Plan, Inc. the 3rd largest source of denials of the 3 insurers reporting there. Spread across its 7 plans in the state that is about 526 denials per plan. 14 internal appeals were filed against those 3,681 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 New Hampshire 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: 3,681 in-network claims were denied by Boston Medical Center Health Plan, Inc. in New Hampshire 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 3 insurers reporting a denial rate in New Hampshire, Boston Medical Center Health Plan, Inc. is the second highest at 14.5%. The highest in the state is 30% and the lowest is 6.7%.
- That is 1.2 percentage points below the 15.7% national average across this dataset, and 6.5 points above the New Hampshire average of 8%.
- Behind the percentage: 25,401 in-network claims were processed under 7 plans in New Hampshire, and 3,681 of them came back denied.
- For every 10,000 claims Boston Medical Center Health Plan, Inc. denied, about 38 came back as an internal appeal. The other 9,962 stopped at the letter.
- Not one of those denials reached independent external review, the stage whose decision the plan is required by law to accept, and where nationally 22.2% (1,092 of 4,918; interval 22.2-23.8% for counts CMS withheld; 32.6% without SelectHealth) are overturned.
- Its most-recorded denial reason is other reasons at 80% of its categorized denials, against 32.4% nationally, a heavier share than the country as a whole. That is the denial mix, not an outcome rate.
- Boston Medical Center Health Plan, Inc. accounts for 2.3% of every in-network claim denied in New Hampshire in this file.
- By raw volume it is the 130th largest source of denials among the 135 insurer-state records in the file that report one.
- After that, its second-most-recorded reason is referral required, 2,330 claims, 17.4% of its categorized denials.
- Third on its own list is not medically necessary, 329 claims, 2.5% of what Boston Medical Center Health Plan, Inc. categorized in New Hampshire. Between them the top three account for 99.8% of its categorized denials.
- Where Boston Medical Center Health Plan, Inc. differs most from the national mix is other reasons: 80% of its categorized denials in New Hampshire against 32.4% across the file.
- Read the other way round: 21,720 of those 25,401 in-network claims were paid, 85.5% of everything Boston Medical Center Health Plan, Inc. processed in New Hampshire.
- Spread across the 7 plans it reports in New Hampshire, that is about 526 denied claims per plan, on about 3,629 claims processed per plan.
- Its reason columns add up to 13,419 categorized rows against 3,681 denials, 364.5% 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 New Hampshire is benefit limit reached, 24 claims, 0.2% of what Boston Medical Center Health Plan, Inc. categorized there.
- Against the file as a whole, this one record is 0% 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 Boston Medical Center Health Plan, Inc. records most often in New Hampshire is other reasons, 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 Boston Medical Center Health Plan, Inc. in New Hampshire 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. 3,681 claims were denied here in a single year and not one was escalated; the deadline is what decides whether anyone reads the argument.
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 |
|---|---|---|
| Boston Medical Center Health Plan, Inc. | 14.5% | , |
| New Hampshire average | 8% | +6.5 pts |
| National average (this dataset) | 15.7% | -1.2 pts |
Boston Medical Center Health Plan, 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 Boston Medical Center Health Plan, Inc.) | 14 | not reported |
| External review (independent) | 0 | not reported |
The gap nobody escalated
3,681 claims denied. 14 internal appeals filed. None 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 Boston Medical Center Health Plan, Inc. letter, and by when. Boston Medical Center Health Plan, Inc. recorded 3,681 denials in New Hampshire and no separately reported appeal outcome, so this page cannot tell you how its New Hampshire appeals went, the Boston Medical Center Health Plan, Inc. 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 Boston Medical Center Health Plan, 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 Boston Medical Center Health Plan, Inc. in New Hampshire. One payment. No subscription. No cut of your claim.
Boston Medical Center Health Plan, Inc. inside New Hampshire
Your denial did not happen in a national average. It happened in a state market, alongside 2 other insurers reporting into the same federal file, and these are that market's own figures.
- Across the whole of New Hampshire, the 3 insurers reporting in this file processed 1,976,492 in-network claims and denied 158,490 of them, a state denial rate of 8%. Boston Medical Center Health Plan, Inc. is one of those 3.
- That puts New Hampshire 27th of 29 states by denial rate, 7.7 points below the 15.7% national average, before you get to what Boston Medical Center Health Plan, Inc. did inside it.
- New Hampshire recorded 443 internal appeals against those denials: one appeal for every 358 claims the state's insurers refused. Boston Medical Center Health Plan, Inc.'s own ratio is one for every 263.
- Not one denial in New Hampshire reached independent external review in the reported year, not Boston Medical Center Health Plan, Inc.'s and not any other insurer's in the state. That is the stage whose decision the plan is required by law to accept.
- The reason New Hampshire's insurers record most often is service excluded from the plan, 44,110 claims, 36.8% of the state's categorized denials. Boston Medical Center Health Plan, Inc. records other reasons most often instead, which is the argument your letter will need to answer.
- The other insurers a New Hampshire reader could have bought from run from 30% (Harvard Pilgrim Health Care of NE) to 6.7% (Matthew Thornton Health Plan, Inc.). Boston Medical Center Health Plan, Inc. at 14.5% sits between the two.
- Put the two together and Boston Medical Center Health Plan, Inc. is responsible for 2.3% of every in-network claim denied in New Hampshire in this release, from 1.3% of the claims the state's insurers processed.
- Every New Hampshire figure in this section is that state's own row in the same federal file Boston Medical Center Health Plan, 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 New Hampshire page is free at /states/new-hampshire.
What Boston Medical Center Health Plan, Inc. denies most
The most common denial reason recorded for Boston Medical Center Health Plan, Inc. plans in New Hampshire is other reasons. How that denial is beaten →
| Denial reason | Claims | Share | National share |
|---|---|---|---|
| Other reasons | 10,736 | 80% | 32.4% |
| Referral required | 2,330 | 17.4% | 9.6% |
| Not medically necessary | 329 | 2.5% | 5.5% |
| Benefit limit reached | 24 | 0.2% | 4.9% |
The last column is each reason's share of all categorized denials nationally, so you can see where Boston Medical Center Health Plan, Inc.'s mix in New Hampshire 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.
Questions
Is Boston Medical Center Health Plan, Inc.'s denial rate in New Hampshire high?
14.5% 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 a Boston Medical Center Health Plan, Inc. denial in New Hampshire, and how many won?
14 internal appeals were filed against 3,681 denials, and the overturn rate was not separately reported. Not one went on to independent external review, the stage whose decision is binding on the plan.
How does Boston Medical Center Health Plan, Inc. compare with other insurers in New Hampshire?
Of the 3 insurers in New Hampshire with a reported denial rate, Boston Medical Center Health Plan, Inc. ranks 2 highest at 14.5%. The highest in New Hampshire is Harvard Pilgrim Health Care of NE at 30%; the lowest is Matthew Thornton Health Plan, Inc. at 6.7%.
What does Boston Medical Center Health Plan, Inc. deny most often in New Hampshire?
Other reasons, 10,736 claims, 80% of this issuer's categorized denials, against 32.4% nationally. This is the denial-reason mix; the federal file does not report overturn rates by reason.
How long do I have to appeal a Boston Medical Center Health Plan, Inc. denial in New Hampshire?
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 New Hampshire, Boston Medical Center Health Plan, 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 a Boston Medical Center Health Plan, Inc. denial in New Hampshire cost anything?
The internal appeal to Boston Medical Center Health Plan, 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 New Hampshire can be charged more than that to file one.
Can Boston Medical Center Health Plan, Inc. ignore an external review decision in New Hampshire?
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 zero external reviews recorded against 3,681 Boston Medical Center Health Plan, Inc. denials in New Hampshire the striking number on this page.
The line on this page we would read twice is the one that says not one of Boston Medical Center Health Plan, Inc.'s 3,681 denials in New Hampshire reached independent review. 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 Boston Medical Center Health Plan, Inc. appeal in New Hampshire: 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 Boston Medical Center Health Plan, Inc. figures on this page, the 14.5% denial rate, the 3,681 denials and the 0 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).