Premera Blue Cross Blue Shield of Alaska denied your claim. Here is your deadline.
Put in the date on your Premera Blue Cross Blue Shield of Alaska notice and get both federal deadlines as calendar dates.
Free, for a Premera Blue Cross Blue Shield of Alaska denial in Alaska, and it runs entirely in your browser. The date, the plan type and the state you pick are never sent to us and never stored.
Premera Blue Cross Blue Shield of Alaska denied 210,082 of 777,414 in-network claims in Alaska; every one of those denials had these same two dates on it. Across Alaska as a whole the insurers in this file denied 25.3% of in-network claims, 239,313 of them, and 222 were appealed.
Premera Blue Cross Blue Shield of Alaska denied 27% of in-network claims in Alaska, 210,082 claims out of 777,414.
Insurance got denied, what to do next?
Those 210,082 denials are 87.8% of every in-network denial recorded in Alaska in this release, which makes Premera Blue Cross Blue Shield of Alaska the 1st largest source of denials of the 2 insurers reporting there. Spread across its 8 plans in the state that is about 26,260 denials per plan. 187 internal appeals were filed against those 210,082 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 Alaska 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: 210,082 in-network claims were denied by Premera Blue Cross Blue Shield of Alaska in Alaska 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 2 insurers reporting a denial rate in Alaska, Premera Blue Cross Blue Shield of Alaska is the first highest at 27%. The highest in the state is 27% and the lowest is 17.3%.
- That is 8.3 percentage points above the 18.7% national average across this dataset, and 1.7 points above the Alaska average of 25.3%.
- Behind the percentage: 777,414 in-network claims were processed under 8 plans in Alaska, and 210,082 of them came back denied.
- For every 10,000 claims Premera Blue Cross Blue Shield of Alaska denied, about 9 came back as an internal appeal. The other 9,991 stopped at the letter.
- Of the internal appeals it did receive, Premera Blue Cross Blue Shield of Alaska overturned 47.59%, 89 claims that started life as a no.
- Its most-recorded denial reason is other reasons at 77.1% of its categorized denials, against 32.3% nationally, a heavier share than the country as a whole. That is the denial mix, not an outcome rate.
- Premera Blue Cross Blue Shield of Alaska accounts for 87.8% of every in-network claim denied in Alaska in this file.
- By raw volume it is the 68th largest source of denials among the 158 insurer-state records in the file that report one.
- After that, its second-most-recorded reason is service excluded from the plan, 19,152 claims, 6.2% of its categorized denials.
- Third on its own list is referral required, 17,723 claims, 5.7% of what Premera Blue Cross Blue Shield of Alaska categorized in Alaska. Between them the top three account for 89% of its categorized denials.
- Where Premera Blue Cross Blue Shield of Alaska differs most from the national mix is other reasons: 77.1% of its categorized denials in Alaska against 32.3% across the file.
- Read the other way round: 567,332 of those 777,414 in-network claims were paid, 73% of everything Premera Blue Cross Blue Shield of Alaska processed in Alaska.
- Spread across the 8 plans it reports in Alaska, that is about 26,260 denied claims per plan, on about 97,177 claims processed per plan.
- Its reason columns add up to 310,153 categorized rows against 210,082 denials, 147.6% 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 Alaska is benefit limit reached, 79 claims, 0% of what Premera Blue Cross Blue Shield of Alaska categorized there.
- Against the file as a whole, this one record is 0.2% of the 84,502,749 in-network claim denials reported by every issuer in it.
- Find the reason code on your denial letter. The reason Premera Blue Cross Blue Shield of Alaska records most often in Alaska 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 Premera Blue Cross Blue Shield of Alaska in Alaska 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. Premera Blue Cross Blue Shield of Alaska overturned 47.59% of the internal appeals it did receive, 89 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 |
|---|---|---|
| Premera Blue Cross Blue Shield of Alaska | 27% | , |
| Alaska average | 25.3% | +1.7 pts |
| National average (this dataset) | 18.7% | +8.3 pts |
Premera Blue Cross Blue Shield of Alaska denies 8.3 percentage points more of its in-network claims than 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 Premera Blue Cross Blue Shield of Alaska) | 187 | 47.59% |
| External review (independent) | not reported | not reported |
What that record means for your own Premera Blue Cross Blue Shield of Alaska letter, and by when. Premera Blue Cross Blue Shield of Alaska overturned 47.59% of the 187 internal appeals its Alaska members filed against 210,082 denials, and the Alaska escalation count for Premera Blue Cross Blue Shield of Alaska is the figure this page names as absent at the top, so how many of those denials went on to the independent stage is not something this page can tell you, Premera Blue Cross Blue Shield of Alaska's own rows in the plan-year 2026 release of the CMS Transparency in Coverage file, read September 5, 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 60 calendar days after you receive its notice (42 CFR 422.582(b)) and Medicaid managed care the same 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 Premera Blue Cross Blue Shield of Alaska 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 Premera Blue Cross Blue Shield of Alaska in Alaska. One payment. No subscription. No cut of your claim.
Premera Blue Cross Blue Shield of Alaska inside Alaska
Your denial did not happen in a national average. It happened in a state market, alongside 1 other insurer reporting into the same federal file, and these are that market's own figures.
- Across the whole of Alaska, the 2 insurers reporting in this file processed 946,098 in-network claims and denied 239,313 of them, a state denial rate of 25.3%. Premera Blue Cross Blue Shield of Alaska is one of those 2.
- That puts Alaska second of 30 states by denial rate, 6.6 points above the 18.7% national average, before you get to what Premera Blue Cross Blue Shield of Alaska did inside it.
- Alaska recorded 222 internal appeals against those denials: one appeal for every 1,078 claims the state's insurers refused. Premera Blue Cross Blue Shield of Alaska's own ratio is one for every 1,123.
- Not one denial in Alaska reached independent external review in the reported year, not Premera Blue Cross Blue Shield of Alaska'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 Alaska's insurers record most often is other reasons, 242,298 claims, 69.5% of the state's categorized denials. Premera Blue Cross Blue Shield of Alaska records the same one most often, so your letter is likely to say it too.
- The other insurers an Alaska reader could have bought from run from 17.3% (Moda Health Plan, Inc.) to 17.3% (Moda Health Plan, Inc.). Premera Blue Cross Blue Shield of Alaska at 27% sits above all of them.
- Put the two together and Premera Blue Cross Blue Shield of Alaska is responsible for 87.8% of every in-network claim denied in Alaska in this release, from 82.2% of the claims the state's insurers processed.
- Every Alaska figure in this section is that state's own row in the same federal file Premera Blue Cross Blue Shield of Alaska's numbers above come from, CMS Transparency in Coverage Public Use File (PY2026 release, PY2024 claims), data.healthcare.gov — US Government public domain, and the full Alaska page is free at /states/alaska.
What Premera Blue Cross Blue Shield of Alaska denies most
The most common denial reason recorded for Premera Blue Cross Blue Shield of Alaska plans in Alaska is other reasons. How that denial is beaten →
| Denial reason | Claims | Share | National share |
|---|---|---|---|
| Other reasons | 239,245 | 77.1% | 32.3% |
| Service excluded from the plan | 19,152 | 6.2% | 11.6% |
| Referral required | 17,723 | 5.7% | 8.4% |
| Not medically necessary | 13,794 | 4.4% | 4.6% |
| Member not covered | 12,587 | 4.1% | 6.6% |
| Administrative reason | 4,409 | 1.4% | 22.5% |
| Provider out of network | 2,770 | 0.9% | 9.8% |
| Experimental or investigational | 394 | 0.1% | 0.1% |
| Benefit limit reached | 79 | 0% | 4.2% |
The last column is each reason's share of all categorized denials nationally, so you can see where Premera Blue Cross Blue Shield of Alaska's mix in Alaska 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 →
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: Premera Blue Cross Blue Shield of Alaska overturned 47.59% of the internal appeals it received.
Questions
Is Premera Blue Cross Blue Shield of Alaska's denial rate in Alaska high?
27% against a national average of 18.7% across the plans in this dataset. It is above average. A denial rate describes the insurer, not the merits of your claim.
How many people appealed a Premera Blue Cross Blue Shield of Alaska denial in Alaska, and how many won?
187 internal appeals were filed against 210,082 denials, and 47.59% of them were overturned (89 claims). How many went on to independent external review is not on the record for Premera Blue Cross Blue Shield of Alaska in Alaska, that is the absence stated at the top of this page and sourced at the foot of it.
How does Premera Blue Cross Blue Shield of Alaska compare with other insurers in Alaska?
Of the 2 insurers in Alaska with a reported denial rate, Premera Blue Cross Blue Shield of Alaska ranks 1 highest at 27%. The highest in Alaska is Premera Blue Cross Blue Shield of Alaska at 27%; the lowest is Moda Health Plan, Inc. at 17.3%.
What does Premera Blue Cross Blue Shield of Alaska deny most often in Alaska?
Other reasons, 239,245 claims, 77.1% of this issuer's categorized denials, against 32.3% 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 Premera Blue Cross Blue Shield of Alaska denial in Alaska?
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 Alaska, Premera Blue Cross Blue Shield of Alaska 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 Premera Blue Cross Blue Shield of Alaska denial in Alaska cost anything?
The internal appeal to Premera Blue Cross Blue Shield of Alaska 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 Alaska can be charged more than that to file one.
Can Premera Blue Cross Blue Shield of Alaska ignore an external review decision in Alaska?
No, and that is the whole point of the stage. External review decisions are binding on the plan by law. The count is the one this page names as absent for Premera Blue Cross Blue Shield of Alaska in Alaska, so none is printed for it, an absent figure is not a count of none.
Premera Blue Cross Blue Shield of Alaska sits at 27% in Alaska against 18.7% nationally, and that is the whole of what this page can honestly tell you about your own claim. I am 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 me and I will correct the page.
, Andrew at Axion Labs · hello@getaxionlabs.comEverything you need for your Premera Blue Cross Blue Shield of Alaska appeal in Alaska: your two deadlines, the argument that fits your denial reason, the letters, the clinician brief, 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 Premera Blue Cross Blue Shield of Alaska figures on this page, the 27% denial rate, the 210,082 denials, are this issuer’s own reported rows in that file. CMS did not report an external-review figure for Premera Blue Cross Blue Shield of Alaska in Alaska in the plan-year 2026 release of the Transparency in Coverage file, which is why no external-review count appears above.
Counts: CMS Transparency in Coverage Public Use File (PY2026 release, PY2024 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).