Reputation grade
C
Peer-relative, A–F
Insurer profile · Centene · NAIC + CMS
Ambetter of North Carolina Inc.
Ambetter of North Carolina Inc.'s complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.
- C
- Reputation grade
- 21.0%
- Claims denied
- 1
- States (CMS data)
The verdict
Ambetter of North Carolina Inc. earns a C reputation grade - a record near the industry median, according to CMS Transparency in Coverage filings, 21.0% of its marketplace claims were denied across 1 state.
- C
- reputation grade
- 21.0%
- claims denied (CMS)
NAIC complaint index
N/A
1.0 = market average; lower is better
Claim denial rate
21.0%
CMS, 1 states
Graded on 1 of 3 measures: claim denials. The score is rescaled across the measures available, so it is not directly comparable with a carrier graded on more of them.
How we calculated this grade →CMS marketplace filing
Reported appeal outcomes for Ambetter of North Carolina Inc.
1,238
appeals filed
0
overturned (reported outcomes)
N/A
of appeals with a reported outcome
The reported appeals on this profile come from North Carolina (1,238 filed, outcome not reported).
CMS reports an overturn outcome for 0 of these 1,238 filed appeals; missing outcomes are excluded from the percentage. These filing totals are not a prediction for an individual appeal. View the CMS source ↗
What the data shows for Ambetter of North Carolina Inc.
Ambetter of North Carolina Inc., part of Centene, carries a C reputation grade in PlainInsurer's dataset, with a composite score of 49.7 (higher means more consumer friction relative to size). It does not yet carry enough NAIC complaint history for a normalized complaint index.
On the claims side, CMS Transparency-in-Coverage filings show Ambetter of North Carolina Inc. denied 21.0% of marketplace claims across 1 reporting state - an elevated rate that warrants checking the plan's appeal-success record before enrolling.
See where Ambetter of North Carolina Inc. sits against every reporting carrier in the claim-denial rate ranking.
Source: NAIC Consumer Information Source complaint data (2024). Source: CMS Transparency in Coverage PUF (PY2026), cms.gov.
Aggregates only, not advice. Full terms on the disclaimer.
Other C-graded carriers in PlainInsurer's dataset include Liberty Mutual and Aetna (CVS Health), and the closest overall composite score to Ambetter of North Carolina Inc.'s 49.7 belongs to Blue Cross Blue Shield of Illinois (49.2), each rescaled across the measures that carrier reports.
Ambetter of North Carolina Inc. is part of the Centene family, alongside Ambetter (Centene), Centene Corporation (WellCare), Ambetter of Magnolia Inc., Ambetter Health of Louisiana, Inc., and 1 more in PlainInsurer's dataset -- a shared parent doesn't mean shared performance, so check each subsidiary's own record before assuming they behave alike.
Other C-graded insurers
Carriers with the same peer-relative reputation grade
| Insurer | Grade |
|---|---|
| Liberty Mutual | C |
| Aetna (CVS Health) | C |
| Allstate Property | C |
| AIG Homeowners | C |
| Allstate Insurance | C |
Closest composite score to Ambetter of North Carolina Inc.
Carriers with the nearest overall composite score (49.7)
| Insurer | Composite score |
|---|---|
| Blue Cross Blue Shield of Illinois | 49.2 |
| Cigna HealthCare of North Carolina, Inc. | 50.3 |
| Molina Healthcare | 50.4 |
| CareSource Indiana, Inc. | 48.6 |
Questions about Ambetter of North Carolina Inc.
What does Ambetter of North Carolina Inc.'s grade mean?
Ambetter of North Carolina Inc. received a grade of C, indicating a record near the industry median.
How many complaints does Ambetter of North Carolina Inc. have?
NAIC's public bulk data does not include a complaint-volume estimate for Ambetter of North Carolina Inc. - the carrier may be new, small, or file under a parent company. Absence of an estimate is missing data, not evidence of zero complaints.
How do I file a complaint against Ambetter of North Carolina Inc.?
File against Ambetter of North Carolina Inc. through your state's Department of Insurance or the NAIC consumer portal at naic.org.
Is Ambetter of North Carolina Inc. a good insurance company?
PlainInsurer's C grade for Ambetter of North Carolina Inc. reflects a record near the industry median relative to peers on published complaint and denial data.
What types of insurance does Ambetter of North Carolina Inc. offer?
Detailed line-of-business data isn't currently available for Ambetter of North Carolina Inc.. The carrier is licensed in 0 states.
Source: NAIC published complaint index + CMS Transparency in Coverage PY2026 Complaint index, reputation grade and per-state claim denial rates for Ambetter of North Carolina Inc. · 2024
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The full PlainInsurer extract, covering every insurer including Ambetter of North Carolina Inc., is available as CSV and JSON. Underlying federal data is public domain; see our methodology for the compilation and grading method.
Data: NAIC published complaint index (2024) · CMS Transparency in Coverage PUF PY2026. Not affiliated with NAIC or CMS.
Every figure on PlainInsurer comes directly from NAIC MCAS and CMS Transparency in Coverage data; no editor types in numbers. See our editorial standards or methodology, or report an error. Data current as of 2026-08-11. Grades measure only the published complaint/denial data; we don't recommend any insurer or policy.