RevCycle Intelligence (7/6, LaPointe) reports “claim denial rates varied significantly among Healthcare.gov marketplace payers,” according to a Kaiser Family Foundation analysis. The results showed “that, overall, nearly one out of every five claims submitted for in-network services in 2020 was denied by marketplace payers,” but “depending on the payer, average claim denial rates ranged from just 1% to 80%.” Also, denial rates “varied significantly by location, the analysis showed.”
Related Links:
— “Claim Denial Rates as High as 80% for Some Marketplace Payers “Jacqueline LaPointe, RevCycle Intelligence, July 6, 2022