Harvard Pilgrim Health Care, Inc. — health Insurance Complaints
Analysis of 19 health insurance complaints filed against Harvard Pilgrim Health Care, Inc., based on public NAIC and state DOI data.
Key Statistics
- health Complaints: 19
- Total Complaints (All Types): 23
- health Share: 82.6%
- AI Risk Score: 31/100
health Complaint Issues
| Issue Type | Complaints | % of Total |
|---|---|---|
| Claim denial | 8 | 42.1% |
| Policy cancellation | 2 | 10.5% |
| Delayed payment | 1 | 5.3% |
| Unfair settlement | 1 | 5.3% |
| Prompt Pay | Claim Handling | Company Position Substantiated | 1 | 5.3% |
| Claims Other | Claim Handling | Claim Settled | 1 | 5.3% |
| Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | Company Position Overturned | 1 | 5.3% |
| Coordination of Benefits | Claim Handling | Company Position Overturned | 1 | 5.3% |
| Claim Handling Other | Claim Handling | Company Position Substantiated | 1 | 5.3% |
| UR INTERNAL/EXTERNAL APPEAL PROCEDURE | Claim Handling | 1 | 5.3% |
| Coverage dispute | 1 | 5.3% |
health Complaints by State
| State | Complaints |
|---|---|
| Connecticut | 19 |
Recent health Complaints Against Harvard Pilgrim Health Care, Inc.
- health Complaint #CT-7063167-86f68d14 — Connecticut (2024-04-03)
- health Complaint #CT-7062262-065e6ef6 — Connecticut (2024-03-04)
- health Complaint #CT-7062201-5402af28 — Connecticut (2024-03-01)
- health Complaint #CT-7061525-76c97504 — Connecticut (2024-02-08)
- health Complaint #CT-7056059-972590e0 — Connecticut (2023-07-25)
- health Complaint #CT-7055954-d3fe9134 — Connecticut (2023-07-20)
- health Complaint #CT-7055413-e47ed971 — Connecticut (2023-06-28)
- health Complaint #CT-7053899-97ea0a4c — Connecticut (2023-05-01)
- health Complaint #CT-7052243-1bb8a9c7 — Connecticut (2023-03-03)
- health Complaint #CT-7046882-b8817607 — Connecticut (2022-07-28)
Frequently Asked Questions
How many health complaints does Harvard Pilgrim Health Care, Inc. have?
Harvard Pilgrim Health Care, Inc. has 19 health insurance complaints on file, according to NAIC and state DOI data.
What are the most common health complaint issues with Harvard Pilgrim Health Care, Inc.?
The most common health complaint issues for Harvard Pilgrim Health Care, Inc. are: Claim denial (8), Policy cancellation (2), Delayed payment (1), Unfair settlement (1), Prompt Pay | Claim Handling | Company Position Substantiated (1).
Which states have the most health complaints against Harvard Pilgrim Health Care, Inc.?
The states with the most health complaints against Harvard Pilgrim Health Care, Inc. are: Connecticut (19).
health Complaints by State
Harvard Pilgrim Health Care, Inc. Complaints by State
- Harvard Pilgrim Health Care, Inc. Complaints in California
- Harvard Pilgrim Health Care, Inc. Complaints in Texas
- Harvard Pilgrim Health Care, Inc. Complaints in New York
- Harvard Pilgrim Health Care, Inc. Complaints in Florida
- Harvard Pilgrim Health Care, Inc. Complaints in Illinois
- Harvard Pilgrim Health Care, Inc. Complaints in Pennsylvania
- Harvard Pilgrim Health Care, Inc. Complaints in Ohio
- Harvard Pilgrim Health Care, Inc. Complaints in Georgia
- Harvard Pilgrim Health Care, Inc. Complaints in North Carolina
- Harvard Pilgrim Health Care, Inc. Complaints in New Jersey