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Lapeira & Associates LLC Blog

The ACA Marketplace Plans' Claims Denials And Appeals

3/1/2023

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​Transparency data was revealed by Medicare and Medicaid Services Centers (CMS) to examine the claims in denial and appeals for the individual accepted health plans being proposed on HealthCare.gov. Around 18% of claim denials in 2020 across insurers with complete data. The rate of insurer denials ranges from 1% to 80%.

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Who Is Eligible For ACA Insurance?

6/14/2022

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If you are trying to update your own ACA insurance policy, you must learn everything you can about your existing policy. This way you will be aware of the benefits and what coverage is offered.

You would also have to be aware of the eligibility requirements for these policies. By being aware of the original eligibility requirements, you will understand and adjust accordingly if there are changes to your existing policy. 
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To answer the question, here are some of the most important considerations that you need to remember when it comes to applicant eligibility for the Affordable Care Act.

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