Evidence file · claims-unitedhealthcare-of-ohio-inc-oh-hios-33931-2024
UnitedHealthcare of Ohio, Inc.
HIOS 33931 · Marketplace · 2024 · Ohio
The takeaway
What this record says—and what it does not
This issuer reported denying 23.2 of every 100 in-network Marketplace claims in this reporting unit during 2024.
- Compared with what?
- That is above 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
- 895,840 count
- Claims denied
- 208,089 count
- Claims denied
- 23.2%
- Appealed denials reversed
- 35%
Scope and limits
- Family
- claims
- Scope
- Issuer × state; HealthCare.gov Marketplace; in-network medical claims
- Status
- published
- Missing fields
- None identified in normalized fields
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
UnitedHealthcare of Ohio, Inc. (OH), HIOS 33931, 2024 Marketplace claims transparency record.
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