InsuranceComplaintCheck

ConnectiCare Benefits, Inc. — health Insurance Complaints

Analysis of 627 health insurance complaints filed against ConnectiCare Benefits, Inc., based on public NAIC and state DOI data.

Key Statistics

  • health Complaints: 627
  • Total Complaints (All Types): 705
  • health Share: 88.9%
  • AI Risk Score: 49/100

health Complaint Issues

Issue TypeComplaints% of Total
Claim denial11017.5%
Delayed payment10917.4%
Premium or billing dispute7712.3%
Unfair settlement6410.2%
Claim Procedure | Claim Handling314.9%
Coverage dispute304.8%
Policy cancellation274.3%
Provider or network dispute203.2%
Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | Company Position Substantiated182.9%
Policy Service | PolicyHolder Service91.4%
Delivery of Policy | PolicyHolder Service91.4%
Claim Handling Other | Claim Handling | Claim Settled81.3%
Co-pay, Deductible, and Co-Insurance Issues | Claim Handling61.0%
CPT Code Issue | Claim Handling61.0%
Claim Handling Other | Claim Handling | Company Position Substantiated61.0%
Misleading sales61.0%
Delivery of Policy | PolicyHolder Service | Company Position Overturned50.8%
Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | Company Position Overturned50.8%
Policy Service Other | PolicyHolder Service40.6%
Recoupment | Claim Handling | Company Position Substantiated40.6%
Payment Not Credited | PolicyHolder Service30.5%
UR Procedure | Claim Handling30.5%
Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | Question of Fact/Contract/Provision/Legal Issue30.5%
Authorization Dispute | Claim Handling30.5%
Recoupment | Claim Handling | Claim Settled30.5%
Claim Procedure | Claim Handling | Claim Settled30.5%
Claim Handling Other | Claim Handling20.3%
Unprofessional Conduct | PolicyHolder Service20.3%
Policy Information | PolicyHolder Service20.3%
Policy Service Other | PolicyHolder Service | Company Position Substantiated20.3%
Other20.3%
Policy Information | PolicyHolder Service | Question of Fact/Contract/Provision/Legal Issue20.3%
Claim Procedure | Claim Handling | Question of Fact/Contract/Provision/Legal Issue20.3%
Payment Not Credited | PolicyHolder Service | Company Position Substantiated20.3%
CPT Code Issue | Claim Handling | Company Position Substantiated20.3%
Surrender Problems | PolicyHolder Service10.2%
Access to Care | PolicyHolder Service10.2%
Recoupment | Claim Handling10.2%
Inadequate Reimbursement/Rates | PolicyHolder Service | Company Position Substantiated10.2%
Policy Service Other | PolicyHolder Service | Referred to Outside Agency/Dept10.2%
Mandated Benefit | Claim Handling | Claim Settled10.2%
Access to Care | PolicyHolder Service | Claim Settled10.2%
Preventive Care | Claim Handling | Claim Settled10.2%
Lapsed | PolicyHolder Service10.2%
Notice Requirements | PolicyHolder Service10.2%
Pharmacy Benefits | Claim Handling | Company Position Substantiated10.2%
Preventive Care | Claim Handling10.2%
Unfair Negotiation | PolicyHolder Service | Company Position Substantiated10.2%
Claim Procedure | Claim Handling | Company Position Overturned10.2%
Mandated Benefit | Claim Handling | Referred to Other Division for Possible Disciplinary Action10.2%
Authorization Dispute | Claim Handling | Company Position Substantiated10.2%
UR INTERNAL/EXTERNAL APPEAL PROCEDURE | Claim Handling10.2%
Policy Information | PolicyHolder Service | Claim Settled10.2%
Usual & Customary Fees | Claim Handling | Claim Settled10.2%
Policy Service | PolicyHolder Service | Company Position Substantiated10.2%
Policy Information | PolicyHolder Service | Company Position Overturned10.2%
Delivery of Policy | PolicyHolder Service | Company Position Substantiated10.2%
Lapsed | PolicyHolder Service | Company Position Substantiated10.2%
Claim Recoding/Bundling | Claim Handling | Company Position Substantiated10.2%
Mandated Benefit | Claim Handling10.2%
Abusive Service | PolicyHolder Service | Company Position Substantiated10.2%
Claim Recoding/Bundling | Claim Handling | Insufficient Information10.2%
Prompt Pay | Claim Handling | Company Position Substantiated10.2%
Usual, Customary, Reasonable (UCR) Charges | Claim Handling | Question of Fact/Contract/Provision/Legal Issue10.2%
Preventive Care | Claim Handling | Company Position Substantiated10.2%
Medically Necessary | Claim Handling | Company Position Overturned10.2%
Recoupment | Claim Handling | Company Position Overturned10.2%
Unsatisfactory Offer | Claim Handling | Company Position Substantiated10.2%
UR Procedure | Claim Handling | Company Position Substantiated10.2%
Fraud | Claim Handling | Company Position Substantiated10.2%
Policy Service Other | PolicyHolder Service | Company Position Overturned10.2%
Unsatisfactory Offer | Claim Handling | Claim Settled10.2%

health Complaints by State

StateComplaints
Connecticut627

Recent health Complaints Against ConnectiCare Benefits, Inc.

Frequently Asked Questions

How many health complaints does ConnectiCare Benefits, Inc. have?

ConnectiCare Benefits, Inc. has 627 health insurance complaints on file, according to NAIC and state DOI data.

What are the most common health complaint issues with ConnectiCare Benefits, Inc.?

The most common health complaint issues for ConnectiCare Benefits, Inc. are: Claim denial (110), Delayed payment (109), Premium or billing dispute (77), Unfair settlement (64), Claim Procedure | Claim Handling (31).

Which states have the most health complaints against ConnectiCare Benefits, Inc.?

The states with the most health complaints against ConnectiCare Benefits, Inc. are: Connecticut (627).

health Complaints by State

ConnectiCare Benefits, Inc. Complaints by State

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