States ranked by average ACA claim denial rates

Alabama has the highest average in-network denial rate for ACA insurers, while South Dakota has the lowest, according to KFF

KFF analyzed CMS data on claims denials and appeals for non-group qualified health plans offered on the federal exchange in 2023. Denial rates at the individual insurer-level had high variability in some states. Insurers ranked by ACA claim denial rates are here.

States ranked by average ACA claim denial rates:

Alabama: 34%

Oklahoma: 29%

Alaska: 25%

Hawaii: 24%

Indiana: 23%

Texas: 22%

Arizona: 21%

Illinois: 20%

Ohio: 19%

Nebraska: 19%

Tennessee: 19%

Iowa: 19%

Utah: 19%

South Carolina: 18%

North Carolina: 18%

New Hampshire: 18%

Missouri: 17%

Louisiana: 17%

Florida: 16%

Wisconsin: 16%

West Virginia: 16%

Wyoming: 15%

Mississippi: 15%

Kansas: 15%

Michigan: 15%

Delaware: 14%

Arkansas: 14%

Montana: 13%

North Dakota: 12%

Oregon: 9%

South Dakota: 6%

Subscribe to the following topics: 1 alabama2. aca3. insurers4. denial rates5. kff6. cms data7. federal exchange8. claim denial rates

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