Oxford Health Insurance, Incorporated — health Insurance Complaints
Analysis of 81 health insurance complaints filed against Oxford Health Insurance, Incorporated, based on public NAIC and state DOI data.
Key Statistics
- health Complaints: 81
- Total Complaints (All Types): 89
- health Share: 91.0%
- AI Risk Score: 38/100
health Complaint Issues
| Issue Type | Complaints | % of Total |
|---|---|---|
| Claim denial | 24 | 29.6% |
| Unfair settlement | 14 | 17.3% |
| Provider or network dispute | 9 | 11.1% |
| Coverage dispute | 5 | 6.2% |
| Claim Handling Other | Claim Handling | Claim Settled | 3 | 3.7% |
| Delayed payment | 3 | 3.7% |
| Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | Company Position Substantiated | 2 | 2.5% |
| Recoupment | Claim Handling | 2 | 2.5% |
| Authorization Dispute | Claim Handling | Claim Settled | 2 | 2.5% |
| Policy Information | PolicyHolder Service | Claim Settled | 1 | 1.2% |
| Claim Procedure | Claim Handling | 1 | 1.2% |
| Preventive Care | Claim Handling | Claim Settled | 1 | 1.2% |
| CPT Code Issue | Claim Handling | Claim Settled | 1 | 1.2% |
| Annual Limit | Claim Handling | Question of Fact/Contract/Provision/Legal Issue | 1 | 1.2% |
| Authorization Dispute | Claim Handling | 1 | 1.2% |
| Fraud | Claim Handling | 1 | 1.2% |
| Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | Question of Fact/Contract/Provision/Legal Issue | 1 | 1.2% |
| Usual & Customary Fees | Claim Handling | Claim Settled | 1 | 1.2% |
| Recoupment | Claim Handling | Company Position Overturned | 1 | 1.2% |
| Emergency Services | Claim Handling | Question of Fact/Contract/Provision/Legal Issue | 1 | 1.2% |
| Preventive Care | Claim Handling | Question of Fact/Contract/Provision/Legal Issue | 1 | 1.2% |
| Policy Service | PolicyHolder Service | 1 | 1.2% |
| Internal Appeal | Claim Handling | Company Position Substantiated | 1 | 1.2% |
| Premium or billing dispute | 1 | 1.2% |
| Usual, Customary, Reasonable (UCR) Charges | Claim Handling | Company Position Overturned | 1 | 1.2% |
| Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | Claim Settled | 1 | 1.2% |
health Complaints by State
| State | Complaints |
|---|---|
| Connecticut | 81 |
Recent health Complaints Against Oxford Health Insurance, Incorporated
- health Complaint #CT-7084786-d6478106 — Connecticut (2026-04-17)
- health Complaint #CT-7084443-c1a8c2dd — Connecticut (2026-04-07)
- health Complaint #CT-7083815-f30d7c83 — Connecticut (2026-03-17)
- health Complaint #CT-7083071-94dae9cf — Connecticut (2026-02-24)
- health Complaint #CT-7082855-512691bb — Connecticut (2026-02-17)
- health Complaint #CT-7082657-0cf19341 — Connecticut (2026-02-10)
- health Complaint #CT-7081450-80b21629 — Connecticut (2026-01-07)
- health Complaint #CT-7081283-4b901648 — Connecticut (2025-12-31)
- health Complaint #CT-7080519-da6cc194 — Connecticut (2025-11-28)
- health Complaint #CT-7080483-5dae5d5e — Connecticut (2025-11-26)
Frequently Asked Questions
How many health complaints does Oxford Health Insurance, Incorporated have?
Oxford Health Insurance, Incorporated has 81 health insurance complaints on file, according to NAIC and state DOI data.
What are the most common health complaint issues with Oxford Health Insurance, Incorporated?
The most common health complaint issues for Oxford Health Insurance, Incorporated are: Claim denial (24), Unfair settlement (14), Provider or network dispute (9), Coverage dispute (5), Claim Handling Other | Claim Handling | Claim Settled (3).
Which states have the most health complaints against Oxford Health Insurance, Incorporated?
The states with the most health complaints against Oxford Health Insurance, Incorporated are: Connecticut (81).
health Complaints by State
Oxford Health Insurance, Incorporated Complaints by State
- Oxford Health Insurance, Incorporated Complaints in California
- Oxford Health Insurance, Incorporated Complaints in Texas
- Oxford Health Insurance, Incorporated Complaints in New York
- Oxford Health Insurance, Incorporated Complaints in Florida
- Oxford Health Insurance, Incorporated Complaints in Illinois
- Oxford Health Insurance, Incorporated Complaints in Pennsylvania
- Oxford Health Insurance, Incorporated Complaints in Ohio
- Oxford Health Insurance, Incorporated Complaints in Georgia
- Oxford Health Insurance, Incorporated Complaints in North Carolina
- Oxford Health Insurance, Incorporated Complaints in New Jersey