Insurer profile · Highmark · NAIC + CMS

Highmark Blue Cross Blue Shield West Virginia

Highmark Blue Cross Blue Shield West Virginia's complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.

C
Reputation grade
20.4%
Claims denied
1
States (CMS data)

The verdict

Highmark Blue Cross Blue Shield West Virginia earns a C reputation grade - a record near the industry median, according to CMS Transparency in Coverage filings, 20.4% of its marketplace claims were denied across 1 state.

C
reputation grade
20.4%
claims denied (CMS)
CCC
Reputation grade C (composite score 53.0) - A=Excellent, F=Failing. Based on NAIC complaint ratios and CMS denial data.

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 →

NAIC CIS filing desk

NAIC NAIC C · 53.0

GRADE-C · INDEX-UNK · DENIAL-ELEV · RANK-UNK · PHOTO-SOLO · LINES-0 · BOOK-MID

  • GRADE-C C · 53.0
  • INDEX-UNK Index blank
  • DENIAL-ELEV 20.4% denied
  • RANK-UNK Rank pending
  • PHOTO-SOLO No peer gap
  • LINES-0 No lines
  • BOOK-MID 3/7 fields

Instrument codes from this carrier’s NAIC Consumer Information Source filing: grade band, complaint index, CMS denial band, corpus rank, photo-finish peer, line book, and field completeness. Not an official NAIC rating.

Highmark Blue Cross Blue Shield West Virginia is part of the Highmark family, alongside Highmark Health and Highmark BCBSD Inc. in PlainInsurer's dataset -- a shared parent doesn't mean shared performance, so check each subsidiary's own record before assuming they behave alike.

CMS marketplace filing

Reported appeal outcomes for Highmark Blue Cross Blue Shield West Virginia

130
appeals filed
41
overturned (reported outcomes)
31.5%
of appeals with a reported outcome

The reported appeals on this profile come from West Virginia (130 filed, 41 overturned).

CMS reports an overturn outcome for 130 of these 130 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 NAIC filing desk shows for Highmark Blue Cross Blue Shield West Virginia

Highmark Blue Cross Blue Shield West Virginia's filing desk summarizes the NAIC complaint record and any CMS marketplace denial data on file.

See where Highmark Blue Cross Blue Shield West Virginia sits against every reporting carrier in the claim-denial rate ranking. Appeal notes for Highmark Blue Cross Blue Shield West Virginia.

Nationwide insurers with similar scores or complaint volume

Two corpus-wide peer sets for Highmark Blue Cross Blue Shield West Virginia: nearest national-scale carriers by composite score and by NAIC complaint volume. These are cross-market neighborhoods, not the corporate-family list or same-grade chips above.

Similar composite score

Nearest carriers by composite score (53.0 here). Floored at 50+ complaints and 5+ states.

Allstate Insurance 51.6 AIG Homeowners 50.8 Nationwide Property 55.2 Transamerica Life 55.2
Aggregates only, not advice. Full terms on the disclaimer.

Questions about Highmark Blue Cross Blue Shield West Virginia

What does Highmark Blue Cross Blue Shield West Virginia's grade mean?
Highmark Blue Cross Blue Shield West Virginia received a grade of C, indicating a record near the industry median.
How many complaints does Highmark Blue Cross Blue Shield West Virginia have?
NAIC's public bulk data does not include a complaint-volume estimate for Highmark Blue Cross Blue Shield West Virginia - 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 Highmark Blue Cross Blue Shield West Virginia?
File against Highmark Blue Cross Blue Shield West Virginia through your state's Department of Insurance or the NAIC consumer portal at naic.org.
Is Highmark Blue Cross Blue Shield West Virginia a good insurance company?
PlainInsurer's C grade for Highmark Blue Cross Blue Shield West Virginia reflects a record near the industry median relative to peers on published complaint and denial data.
What types of insurance does Highmark Blue Cross Blue Shield West Virginia offer?
Detailed line-of-business data isn't currently available for Highmark Blue Cross Blue Shield West Virginia. 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 Highmark Blue Cross Blue Shield West Virginia · 2024

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The full PlainInsurer extract, covering every insurer including Highmark Blue Cross Blue Shield West Virginia, is available as CSV and JSON. Underlying federal data is public domain; see our methodology for the compilation and grading method.

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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.