Health Care Claims Reports
Current Calendar Year | 2022
Insurance Law section 345 requires insurers and HMOs (issuers) to submit reports to the Superintendent quarterly and annually on health care claims payment performance for comprehensive health insurance coverage. The reports provide information on claims received, claims paid, and claims denied and their dollar values, by major category of health care provider. The reports are due to the Superintendent 45 days after the end of the reporting period.
DFS posts the reports on the DFS website as submitted by the issuers. The reports have not been reviewed by DFS for accuracy.
NOTE: The reports available on this page are in Excel format.
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|
Company Name |
NAIC # |
2023 |
2023 |
2023 |
2023 |
2023 |
|---|---|---|---|---|---|---|
|
4 Ever Life Insurance Company |
80985 |
Q1 | Q2 | |||
|
Aetna Health Insurance Company of New York |
84450 |
Q1 | Q2 | |||
|
Aetna Life Insurance Company |
60054 |
Q1 | Q2 | |||
|
Capital District Physicians' Health Plan, Inc. (CDPHP) |
95491 |
Q1 | Q2 | |||
|
CDPHP Universal Benefits, Inc. |
47027 |
Q1 | Q2 | |||
|
Cigna Health and Life Insurance Company |
67369 |
Q1 | Q2 | |||
|
Connecticut General Life Insurance Company (Cigna) |
62308 |
Q1 | Q2 | |||
|
EmblemHealth Insurance Company |
60094 |
Q1 | Q2 | |||
|
Emblem Health Plan, Inc. |
55239 |
Q1 | Q2 | |||
|
Empire Healthchoice Assurance, Inc. |
55093 |
Q1 | Q2 | |||
|
Empire Healthchoice HMO, Inc. |
95433 |
Q1 | Q2 | |||
|
Excellus Health Plan, Inc. |
55107 |
|||||
|
Health Insurance Plan of Greater New York (HIP) |
55247 |
Q1 | Q2 | |||
|
Healthfirst Insurance Company, Inc. |
16031 |
Q1 | Q2 | |||
|
Healthfirst PHSP, Inc. |
15071 |
Q1 | Q2 | |||
|
HealthPlus HP, LLC |
16574 | Q1 | Q2 | |||
|
Highmark Western and Northeastern New York, Inc. (formerly HealthNow New York, Inc.) |
55204 |
Q1 | Q2 | |||
|
Independent Health Association, Inc. |
95308 |
Q1 | Q2 | |||
|
Independent Health Benefits Corporation |
47034 |
Q1 | Q2 | |||
|
MetroPlus Health Plan |
95546 |
Q1 | Q2 | |||
|
Molina Healthcare of New York, Inc. |
15799 |
Q1 | Q2 | |||
|
MVP Health Plan, Inc. |
95521 |
Q1 | Q2 | |||
|
MVP Health Services Corporation |
47062 |
Q1 | Q2 | |||
|
Nippon Life Insurance Company of America |
81264 |
Q1 | Q2 | |||
|
NYQHC dba Fidelis Care |
16352 | Q1 | Q2 | |||
|
Oscar Insurance Corporation |
15281 |
Q1 | Q2 | |||
|
Oxford Health Insurance, Inc. |
78026 |
Q1 | Q2 | |||
|
UnitedHealthcare Insurance Company of New York |
60093 |
Q1 | Q2 | |||
|
UnitedHealthcare of New York, Inc. |
95085 |
Q1 | Q2 | |||
|
Wellfleet New York Insurance Company |
20931 |
Q1 | Q2 |