Express Scripts Administrators, LLC — health Complaints in Texas

Detailed analysis of 88 health insurance complaints filed against Express Scripts Administrators, LLC by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Texas: 88
Total health Complaints (All States): 88
Texas Share: 100.0%
AI Risk Score: 41/100

Analysis: Express Scripts Administrators, LLC health in Texas

Express Scripts Administrators, LLC has accumulated 88 health insurance complaints from consumers in Texas. Across all states, Express Scripts Administrators, LLC has 88 total health complaints, making Texas responsible for 100.0% of the volume.

The most frequent complaint sub-type is Claim denial with 33 complaints. Other common issues include Delayed payment (19), Coverage dispute (13), Other | Information Furnished (3).

The most active year was 2025 with 3 complaints filed.

Consumers in Texas who have health disputes with Express Scripts Administrators, LLC can file a complaint with the Texas Department of Insurance.

health Complaint Issues in Texas

Issue Type	Complaints	%
Claim denial	33	37.5%
Delayed payment	19	21.6%
Coverage dispute	13	14.8%
Other \| Information Furnished	3	3.4%
Unsatisfactory Settle/Offer \| Company Position Upheld	2	2.3%
Other \| Contract Language/Legal Issue	2	2.3%
Unsatisfactory Settle/Offer \| No Jurisdiction	2	2.3%
Cust Service Claim Handling \| Corrective Action Taken; Information Furnished	1	1.1%
Authorization Dispute; Cust Service Claim Handling \| Referred To; Information Furnished; Contract Language/Legal Issue	1	1.1%
Cust Srvc Policy Holder Srvcs \| Information Furnished	1	1.1%
Other \| No Jurisdiction; Information Furnished	1	1.1%
Other \| Other; Information Furnished	1	1.1%
Cust Service Claim Handling \| No Jurisdiction	1	1.1%
Unsatisfactory Settle/Offer \| Additional Payment Expected; No Jurisdiction	1	1.1%
Policy cancellation	1	1.1%
Unfair Discrim-Clms Handling \| Contract Language/Legal Issue; Information Furnished	1	1.1%
Unsatisfactory Settle/Offer	1	1.1%
Unsatisfactory Settle/Offer \| Corrective Action Taken; Information Furnished; Additional Monies Received	1	1.1%
Unsatisfactory Settle/Offer \| Referred for Disciplinary Actn	1	1.1%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer \| Information Furnished; Insufficient Information	1	1.1%
Unsatisfactory Settle/Offer \| Contract Language/Legal Issue	1	1.1%

Complaints by Year

2025: 3 complaints
2024: 8 complaints
2023: 2 complaints
2022: 5 complaints
2021: 4 complaints
2020: 3 complaints
2019: 3 complaints
2018: 14 complaints
2017: 10 complaints
2016: 14 complaints
2015: 14 complaints
2014: 8 complaints

Recent health Complaints Against Express Scripts Administrators, LLC in Texas

health Complaint #TX-432418-4c752b76 (2025-08-20) — Cust Service Claim Handling | Corrective Action Taken; Information Furnished
health Complaint #TX-431663-ed822ccb (2025-08-13) — Authorization Dispute; Cust Service Claim Handling | Referred To; Information Furnished; Contract Language/Legal Issue
health Complaint #TX-421652-173682de (2025-04-21) — Claim denial
health Complaint #TX-408773-a2aa008a (2024-11-05) — Unsatisfactory Settle/Offer | Company Position Upheld
health Complaint #TX-408746-a2aa008a (2024-11-05) — Unsatisfactory Settle/Offer | Company Position Upheld
health Complaint #TX-408658-62e9157f (2024-11-04) — Claim denial
health Complaint #TX-406041-4e1580bf (2024-10-04) — Delayed payment
health Complaint #TX-404989-fb56dd92 (2024-09-24) — Other | Information Furnished
health Complaint #TX-404969-fb56dd92 (2024-09-24) — Other | Information Furnished
health Complaint #TX-404962-fb56dd92 (2024-09-24) — Other | Information Furnished

Frequently Asked Questions

How many health complaints does Express Scripts Administrators, LLC have in Texas?

Express Scripts Administrators, LLC has 88 health insurance complaints on file from consumers in Texas, according to NAIC and state DOI data.

What are the most common health complaint issues with Express Scripts Administrators, LLC in Texas?

The most common issues are: Claim denial (33), Delayed payment (19), Coverage dispute (13), Other | Information Furnished (3), Unsatisfactory Settle/Offer | Company Position Upheld (2).

How does Express Scripts Administrators, LLC's health record in Texas compare to other states?

Express Scripts Administrators, LLC has 88 health complaints in Texas out of 88 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against Express Scripts Administrators, LLC in Texas?

You can file a complaint with the Texas Department of Insurance. The NAIC Consumer Information Source at https://content.naic.org/cis_consumer.htm also accepts complaints.