InsuranceComplaintCheck

Oxford Health Plans (CT), Inc — health Insurance Complaints

Analysis of 156 health insurance complaints filed against Oxford Health Plans (CT), Inc, based on public NAIC and state DOI data.

Key Statistics

  • health Complaints: 156
  • Total Complaints (All Types): 244
  • health Share: 63.9%
  • AI Risk Score: 44/100

health Complaint Issues

Issue TypeComplaints% of Total
Claim denial8957.1%
Claim Procedure | Claim Handling95.8%
External Review | Claim Handling85.1%
Unfair settlement85.1%
Provider or network dispute74.5%
Other63.8%
Coverage dispute53.2%
Delayed payment31.9%
Coordination of Benefits | Claim Handling21.3%
Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | Company Position Overturned21.3%
Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | Company Position Substantiated21.3%
Misleading sales21.3%
Emergency Services | Claim Handling | Company Position Substantiated10.6%
Co-pay, Deductible, and Co-Insurance Issues | Claim Handling10.6%
Pharmacy Benefits | Claim Handling | Company Position Substantiated10.6%
Claim Handling Other | Claim Handling | Company Position Substantiated10.6%
Premium or billing dispute10.6%
Authorization Dispute | Claim Handling10.6%
Coordination of Benefits | Claim Handling | Claim Settled10.6%
UR Procedure | Claim Handling10.6%
Policy cancellation10.6%
Mandated Benefit | Claim Handling10.6%
Fraud | Claim Handling10.6%
CPT Code Issue | Claim Handling10.6%
Claim Procedure | Claim Handling | Company Position Substantiated10.6%

health Complaints by State

StateComplaints
Connecticut156

Recent health Complaints Against Oxford Health Plans (CT), Inc

Frequently Asked Questions

How many health complaints does Oxford Health Plans (CT), Inc have?

Oxford Health Plans (CT), Inc has 156 health insurance complaints on file, according to NAIC and state DOI data.

What are the most common health complaint issues with Oxford Health Plans (CT), Inc?

The most common health complaint issues for Oxford Health Plans (CT), Inc are: Claim denial (89), Claim Procedure | Claim Handling (9), External Review | Claim Handling (8), Unfair settlement (8), Provider or network dispute (7).

Which states have the most health complaints against Oxford Health Plans (CT), Inc?

The states with the most health complaints against Oxford Health Plans (CT), Inc are: Connecticut (156).

health Complaints by State

Oxford Health Plans (CT), Inc Complaints by State

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