Insurer profile · NAIC + CMS
PacificSource Health Plans
PacificSource Health Plans's complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.
- B
- Reputation grade
- 19.6%
- Claims denied
- 2
- States (CMS data)
The verdict
PacificSource Health Plans earns a B reputation grade - a better-than-average record versus peers, according to CMS Transparency in Coverage filings, 19.6% of its marketplace claims were denied across 2 states.
- B
- reputation grade
- 19.6%
- claims denied (CMS)
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 B · 73.5
GRADE-B · INDEX-UNK · DENIAL-ELEV · RANK-UNK · PHOTO-SOLO · LINES-0 · BOOK-MID
- GRADE-B B · 73.5
- INDEX-UNK Index blank
- DENIAL-ELEV 19.6% 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.
Among states with enough reported claims to compare, PacificSource Health Plans's highest marketplace denial rates in this dataset are in Oregon (20.0%) and Montana (13.7%). State-level rates reflect the specific plans PacificSource Health Plans offers there and how each state's regulators and utilization-review rules apply, not necessarily the carrier's national practice.
CMS marketplace filing
Reported appeal outcomes for PacificSource Health Plans
The largest state samples are Oregon (136 filed, 12 overturned) and Montana (39 filed, outcome not reported); 2 states contribute to the profile total.
CMS reports an overturn outcome for 136 of these 175 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 PacificSource Health Plans
PacificSource Health Plans's filing desk summarizes the NAIC complaint record and any CMS marketplace denial data on file.
See where PacificSource Health Plans sits against every reporting carrier in the claim-denial rate ranking. Appeal notes for PacificSource Health Plans.
Nationwide insurers with similar scores or complaint volume
Two corpus-wide peer sets for PacificSource Health Plans: 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 (73.5 here). Floored at 50+ complaints and 5+ states.
Questions about PacificSource Health Plans
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Source: NAIC published complaint index + CMS Transparency in Coverage PY2026 Complaint index, reputation grade and per-state claim denial rates for PacificSource Health Plans · 2024
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The full PlainInsurer extract, covering every insurer including PacificSource Health Plans, 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.