State coverage · all states
Ohio publishes counts, not decisions
No rate is shown for Ohio, because this dataset holds no Ohio decisions. California's numbers are California's and do not transfer.
What was found
verified 2026-09-04- External review process
- Run by the state.
- What is published
- Annual Health Claims External Review Report: 2020, 536 cases, 38% reversed
- What that means
- Aggregate only.
What is true in every state. A federal right to an external review of most denials exists regardless of where you live, and your state’s insurance regulator or consumer-assistance program can tell you the route and the deadline for free. If your plan is a self-funded employer plan, that appeal goes to the federal process wherever you are — and that process publishes no decisions, so nothing here or anywhere describes its outcomes. Whether this covers you.