ACA Exchange Plan Carriers Denied Nearly 1 in 5 Claims In 2024: Report

ACA Exchange Plan Carriers Denied Nearly 1 in 5 Claims In 2024: Report Fewer than 1% of denials were appealed by members, and insurers stood by their original decisions in 66% of challenges. The trade and advocacy group AHIP said in a statement: “The vast majority of denials are due to incorrect or incomplete claim submissions from providers, duplicate claims, claims for unproven or unsafe treatments and services, or for services that are not part of covered benefits.” https://kffhealthnews.org/morning-breakout/aca-exchange-plan-carriers-denied-nearly-1-in-5-claims-in-2024-report/