CT health care providers say insurance ‘downcoding’ is bleeding them dry

Connecticut Public – Monday, March 2, 2026
By Sujata Srinivasan

A Connecticut doctor is claiming he’s the victim of repeated under-reimbursements by insurance companies, a practice called “downcoding” that he said cost him close to $100,000.

Downcoding occurs when an insurer reduces a billing code submitted by a provider. That results in a lower payment to the doctor. It’s a practice insurers say helps to combat improper billing and reign in ballooning health care costs.

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