InsuranceComplaintCheck

ConnectiCare Insurance Company, Inc — health Insurance Complaints

Analysis of 295 health insurance complaints filed against ConnectiCare Insurance Company, Inc, based on public NAIC and state DOI data.

Key Statistics

  • health Complaints: 295
  • Total Complaints (All Types): 356
  • health Share: 82.9%
  • AI Risk Score: 46/100

health Complaint Issues

Issue TypeComplaints% of Total
Claim denial5318.0%
Delayed payment3110.5%
Premium or billing dispute289.5%
Unfair settlement258.5%
Provider or network dispute186.1%
Coverage dispute165.4%
Claim Procedure | Claim Handling144.7%
Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | Company Position Substantiated103.4%
Claim Handling Other | Claim Handling | Company Position Substantiated93.1%
Policy Service | PolicyHolder Service82.7%
Claim Handling Other | Claim Handling | Claim Settled51.7%
CPT Code Issue | Claim Handling51.7%
Misleading sales41.4%
Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | Claim Settled41.4%
Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | Company Position Overturned41.4%
Claim Procedure | Claim Handling | Claim Settled41.4%
Delivery of Policy | PolicyHolder Service31.0%
Pharmacy Benefits | Claim Handling | Company Position Substantiated31.0%
Co-pay, Deductible, and Co-Insurance Issues | Claim Handling20.7%
Recoupment | Claim Handling | Company Position Substantiated20.7%
Policy Service Other | PolicyHolder Service20.7%
Policy Service | PolicyHolder Service | Company Position Overturned20.7%
Policy cancellation20.7%
Recoupment | Claim Handling | Company Position Overturned20.7%
Prompt Pay | Claim Handling | Company Position Overturned20.7%
Policy Information | PolicyHolder Service10.3%
Policy Service Other | PolicyHolder Service | Company Position Overturned10.3%
Surrender Problems | PolicyHolder Service10.3%
Delivery of Policy | PolicyHolder Service | Company Position Substantiated10.3%
CPT Code Issue | Claim Handling | Company Position Overturned10.3%
Subrogation | Claim Handling | Complaint Withdrawn10.3%
Authorization Dispute | Claim Handling10.3%
Access to Care | PolicyHolder Service | No Jurisdiction10.3%
Notice Requirements | PolicyHolder Service | No Jurisdiction10.3%
Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | Claim Reopened10.3%
Claim Recoding/Bundling | Claim Handling | Company Position Substantiated10.3%
Pharmacy Benefits | Claim Handling10.3%
Claim Procedure | Claim Handling | Company Position Substantiated10.3%
Claim Handling Other | Claim Handling | Complaint Withdrawn10.3%
Policy Service Other | PolicyHolder Service | Company Position Substantiated10.3%
Claim Handling Other | Claim Handling | Insufficient Information10.3%
Claim Recoding/Bundling | Claim Handling | Claim Settled10.3%
Claim Handling Other | Claim Handling10.3%
Recoupment | Claim Handling | Claim Settled10.3%
Quality of Care | PolicyHolder Service | Question of Fact/Contract/Provision/Legal Issue10.3%
Prompt Pay | Claim Handling | Company Position Substantiated10.3%
Other10.3%
UR Procedure | Claim Handling10.3%
UR Procedure | Claim Handling | Claim Settled10.3%
CPT Code Issue | Claim Handling | Company Position Substantiated10.3%
Coordination of Benefits | Claim Handling10.3%
Notice Requirements | PolicyHolder Service | Company Position Substantiated10.3%
Coordination of Benefits | Claim Handling | Company Position Substantiated10.3%
UR INTERNAL/EXTERNAL APPEAL PROCEDURE | Claim Handling10.3%
Lapsed | PolicyHolder Service | Company Position Substantiated10.3%
Notice Requirements | PolicyHolder Service10.3%
Pharmacy Benefits | Claim Handling | Company Position Overturned10.3%
Coordination of Benefits | Claim Handling | Claim Settled10.3%
Preventive Care | Claim Handling | Claim Settled10.3%
Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | Question of Fact/Contract/Provision/Legal Issue10.3%
Preventive Care | Claim Handling | No Jurisdiction10.3%
Cost Containment | Claim Handling | Company Position Overturned10.3%

health Complaints by State

StateComplaints
Connecticut295

Recent health Complaints Against ConnectiCare Insurance Company, Inc

Frequently Asked Questions

How many health complaints does ConnectiCare Insurance Company, Inc have?

ConnectiCare Insurance Company, Inc has 295 health insurance complaints on file, according to NAIC and state DOI data.

What are the most common health complaint issues with ConnectiCare Insurance Company, Inc?

The most common health complaint issues for ConnectiCare Insurance Company, Inc are: Claim denial (53), Delayed payment (31), Premium or billing dispute (28), Unfair settlement (25), Provider or network dispute (18).

Which states have the most health complaints against ConnectiCare Insurance Company, Inc?

The states with the most health complaints against ConnectiCare Insurance Company, Inc are: Connecticut (295).

health Complaints by State

ConnectiCare Insurance Company, Inc Complaints by State

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