Regence BlueCross BlueShield of Utah denied your claim. Here is your deadline.
Put in the date on your Regence BlueCross BlueShield of Utah notice and get both federal deadlines as calendar dates.
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Regence BlueCross BlueShield of Utah denied 52,771 of 389,631 in-network claims in Utah; every one of those denials had these same two dates on it. Across Utah as a whole the insurers in this file denied 17.3% of in-network claims, 1,967,874 of them, and 2,339 were appealed.
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Regence BlueCross BlueShield of Utah denied 13.5% of in-network claims in Utah, 52,771 claims out of 389,631.
Further down this page, after the free steps: the paid next step.
Insurance got denied, what to do next?
Those 52,771 denials are 2.7% of every in-network denial recorded in Utah in this release, which makes Regence BlueCross BlueShield of Utah the 3rd largest source of denials of the 5 insurers reporting there. Spread across its 7 plans in the state that is about 7,539 denials per plan. 376 internal appeals were filed against those 52,771 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 Utah 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: 52,771 in-network claims were denied by Regence BlueCross BlueShield of Utah in Utah 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 Utah, Regence BlueCross BlueShield of Utah is the fifth highest at 13.5%. The highest in the state is 28.8% and the lowest is 13.5%.
- That is 2.2 percentage points below the 15.7% national average across this dataset, and 3.8 points below the Utah average of 17.3%.
- Behind the percentage: 389,631 in-network claims were processed under 7 plans in Utah, and 52,771 of them came back denied.
- For every 10,000 claims Regence BlueCross BlueShield of Utah denied, about 71 came back as an internal appeal. The other 9,929 stopped at the letter.
- Of the internal appeals it did receive, Regence BlueCross BlueShield of Utah overturned 6.65%, 25 claims that started life as a no.
- Its most-recorded denial reason is other reasons at 89.7% 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.
- Regence BlueCross BlueShield of Utah accounts for 2.7% of every in-network claim denied in Utah in this file.
- By raw volume it is the 101th largest source of denials among the 135 insurer-state records in the file that report one.
- After that, its second-most-recorded reason is service excluded from the plan, 3,765 claims, 6.5% of its categorized denials.
- Third on its own list is administrative reason, 1,272 claims, 2.2% of what Regence BlueCross BlueShield of Utah categorized in Utah. Between them the top three account for 98.4% of its categorized denials.
- Where Regence BlueCross BlueShield of Utah differs most from the national mix is other reasons: 89.7% of its categorized denials in Utah against 32.4% across the file.
- Read the other way round: 336,860 of those 389,631 in-network claims were paid, 86.5% of everything Regence BlueCross BlueShield of Utah processed in Utah.
- Spread across the 7 plans it reports in Utah, that is about 7,539 denied claims per plan, on about 55,662 claims processed per plan.
- Its reason columns add up to 57,499 categorized rows against 52,771 denials, 109% 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 Utah is benefit limit reached, 12 claims, 0% of what Regence BlueCross BlueShield of Utah categorized there.
- Against the file as a whole, this one record is 0.1% 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 Regence BlueCross BlueShield of Utah records most often in Utah 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 Regence BlueCross BlueShield of Utah in Utah 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. Regence BlueCross BlueShield of Utah overturned 6.65% of the internal appeals it did receive, 25 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 |
|---|---|---|
| Regence BlueCross BlueShield of Utah | 13.5% | , |
| Utah average | 17.3% | -3.8 pts |
| National average (this dataset) | 15.7% | -2.2 pts |
Regence BlueCross BlueShield of Utah 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 Regence BlueCross BlueShield of Utah) | 376 | 6.65% |
| External review (independent) | not reported | not reported |
What that record means for your own Regence BlueCross BlueShield of Utah letter, and by when. Regence BlueCross BlueShield of Utah overturned 6.65% of the 376 internal appeals its Utah members filed against 52,771 denials, and the Utah escalation count for Regence BlueCross BlueShield of Utah 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, Regence BlueCross BlueShield of Utah'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 Regence BlueCross BlueShield of Utah 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 Regence BlueCross BlueShield of Utah in Utah. One payment. No subscription. No cut of your claim.
Regence BlueCross BlueShield of Utah inside Utah
Your denial did not happen in a national average. It happened in a state market, alongside 4 other insurers reporting into the same federal file, and these are that market's own figures.
- Across the whole of Utah, the 5 insurers reporting in this file processed 11,373,974 in-network claims and denied 1,967,874 of them, a state denial rate of 17.3%. Regence BlueCross BlueShield of Utah is one of those 5.
- That puts Utah 12th of 29 states by denial rate, 1.6 points above the 15.7% national average, before you get to what Regence BlueCross BlueShield of Utah did inside it.
- Utah recorded 2,339 internal appeals against those denials: one appeal for every 841 claims the state's insurers refused. Regence BlueCross BlueShield of Utah's own ratio is one for every 140.
- Independent external review was reached 3,028 times in the whole of Utah, once for every 650 denials, against one in 17,061 nationally. How many came from Regence BlueCross BlueShield of Utah's denials is not on the record, that is the Utah figure this page names as absent at the top and sources at the foot.
- Of the Utah external reviews that were filed, 476 were overturned, 15.7%. That percentage is measured on 3,028 reviews, which is why the count beside it matters more than the rate does when you are deciding whether to file against Regence BlueCross BlueShield of Utah.
- The reason Utah's insurers record most often is other reasons, 1,520,994 claims, 60.3% of the state's categorized denials. Regence BlueCross BlueShield of Utah records the same one most often, so your letter is likely to say it too.
- The other insurers a Utah reader could have bought from run from 28.8% (Imperial Health Plan of the Southwest, Inc.) to 17.3% (SelectHealth, Inc.). Regence BlueCross BlueShield of Utah at 13.5% sits below all of them.
- Put the two together and Regence BlueCross BlueShield of Utah is responsible for 2.7% of every in-network claim denied in Utah in this release, from 3.4% of the claims the state's insurers processed.
- Every Utah figure in this section is that state's own row in the same federal file Regence BlueCross BlueShield of Utah'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 Utah page is free at /states/utah.
What Regence BlueCross BlueShield of Utah denies most
The most common denial reason recorded for Regence BlueCross BlueShield of Utah plans in Utah is other reasons. How that denial is beaten →
| Denial reason | Claims | Share | National share |
|---|---|---|---|
| Other reasons | 51,550 | 89.7% | 32.4% |
| Service excluded from the plan | 3,765 | 6.5% | 13.4% |
| Administrative reason | 1,272 | 2.2% | 17.2% |
| Referral required | 875 | 1.5% | 9.6% |
| Not medically necessary | 25 | 0% | 5.5% |
| Benefit limit reached | 12 | 0% | 4.9% |
The last column is each reason's share of all categorized denials nationally, so you can see where Regence BlueCross BlueShield of Utah's mix in Utah 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.
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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: Regence BlueCross BlueShield of Utah overturned 6.65% of the internal appeals it received.
Questions
Is Regence BlueCross BlueShield of Utah's denial rate in Utah high?
13.5% 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 Regence BlueCross BlueShield of Utah denial in Utah, and how many won?
376 internal appeals were filed against 52,771 denials, and 6.65% of them were overturned (25 claims). How many went on to independent external review is not on the record for Regence BlueCross BlueShield of Utah in Utah, that is the absence stated at the top of this page and sourced at the foot of it.
How does Regence BlueCross BlueShield of Utah compare with other insurers in Utah?
Of the 5 insurers in Utah with a reported denial rate, Regence BlueCross BlueShield of Utah ranks 5 highest at 13.5%. The highest in Utah is Imperial Health Plan of the Southwest, Inc. at 28.8%; the lowest is Regence BlueCross BlueShield of Utah at 13.5%.
What does Regence BlueCross BlueShield of Utah deny most often in Utah?
Other reasons, 51,550 claims, 89.7% 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 Regence BlueCross BlueShield of Utah denial in Utah?
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 Utah, Regence BlueCross BlueShield of Utah 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 Regence BlueCross BlueShield of Utah denial in Utah cost anything?
The internal appeal to Regence BlueCross BlueShield of Utah 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 Utah can be charged more than that to file one.
Can Regence BlueCross BlueShield of Utah ignore an external review decision in Utah?
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 Regence BlueCross BlueShield of Utah in Utah, so none is printed for it, an absent figure is not a count of none.
Regence BlueCross BlueShield of Utah sits at 13.5% in Utah 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 Regence BlueCross BlueShield of Utah appeal in Utah: 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 Regence BlueCross BlueShield of Utah figures on this page, the 13.5% denial rate, the 52,771 denials, are this issuer’s own reported rows in that file. CMS did not report an external-review figure for Regence BlueCross BlueShield of Utah in Utah in the plan-year 2027 release of the Transparency in Coverage file, which is why no external-review count appears above.
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).