A new study released by the KFF Foundation claims that Blue Cross and Blue Shield of Alabama, denies in-network claims for a specific plan offered through the ACA, at the highest rate in the country. The study of data submitted by insurers to the federal government for the year 2023 found BCBS of Alabama denied 35% of in-network claims, 2% more than United Health Group, and almost double the national average of 19% for insurers offering the same ACA.