Evidence file · claims-celtic-insurance-company-mo-hios-99723-2024
Celtic Insurance Company
HIOS 99723 · Marketplace · 2024 · Missouri
The takeaway
What this record says—and what it does not
This issuer reported denying 18.8 of every 100 in-network Marketplace claims in this reporting unit during 2024.
- Compared with what?
- That is near the 19.0% median among 158 records in this library with the same program, year, and metric. This is a directional comparison, not a quality grade.
- How could I use this?
- Use this rate to ask how the issuer compares with like Marketplace issuers, to identify outliers for reporting or oversight, or to frame questions about its claims practices.
- What can’t I conclude?
- It does not show whether your claim was correctly decided, why a service was denied, or what happened in employer, Medicare, or Medicaid plans.
- Claims received
- 5,919,313 count
- Claims denied
- 1,113,385 count
- Claims denied
- 18.8%
- Appealed denials reversed
- Not reported
Scope and limits
- Family
- claims
- Scope
- Issuer × state; HealthCare.gov Marketplace; in-network medical claims
- Status
- published
- Missing fields
- appeal overturn rate
Artifact and version
- Captured
- 2026-07-17T21:57:18.595Z
- SHA-256
- 8dd5e05c15e690be4ac2abdbc5695835a728146c46b85f453657c504c71f4241
- Version
- 8dd5e05c15e6
- Extraction
- Parsed from the checked source extraction and normalized by pipeline v1.
Citation and files
Celtic Insurance Company (MO), HIOS 99723, 2024 Marketplace claims transparency record.
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