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.

Questions?

Company Name

NAIC #

2023
Q1 Reports

2023
Q2 Reports

2023
Q3 Reports

2023
Q4 Reports

2023
Annual Reports

4 Ever Life Insurance Company

80985

Q1        

Aetna Health Insurance Company of New York

84450

Q1        

Aetna Life Insurance Company

60054

Q1        

Capital District Physicians' Health Plan, Inc. (CDPHP)

95491

Q1        

CDPHP Universal Benefits, Inc.

47027

Q1        

Cigna Health and Life Insurance Company

67369

Q1        

Connecticut General Life Insurance Company (Cigna)

62308

Q1        

EmblemHealth Insurance Company

60094

Q1        

Emblem Health Plan, Inc.

55239

Q1        

Empire Healthchoice Assurance, Inc.

55093

Q1        

Empire Healthchoice HMO, Inc.

95433

Q1        

Excellus Health Plan, Inc.

55107

Q1 - Group

Q1 - Individual

       

Health Insurance Plan of Greater New York (HIP)

55247

Q1        

Healthfirst Insurance Company, Inc.

16031

Q1        

Healthfirst PHSP, Inc.

15071

Q1        

HealthPlus HP, LLC

16574 Q1        

Highmark Western and Northeastern New York, Inc. (formerly HealthNow New York, Inc.)

55204

Q1        

Independent Health Association, Inc.

95308

Q1        

Independent Health Benefits Corporation

47034

Q1        

MetroPlus Health Plan

95546

Q1        

Molina Healthcare of New York, Inc.

15799

Q1        

MVP Health Plan, Inc.

95521

Q1        

MVP Health Services Corporation

47062

Q1        

Nippon Life Insurance Company of America

81264

Q1        

NYQHC dba Fidelis Care

16352 Q1        

Oscar Insurance Corporation

15281

Q1        

Oxford Health Insurance, Inc.

78026

Q1        

UnitedHealthcare Insurance Company of New York

60093

Q1        

UnitedHealthcare of New York, Inc.

95085

Q1        

Wellfleet New York Insurance Company
(formerly Atlanta International Insurance Company)

20931

Q1