Top payers by incurred claims 

Kaiser Permanente Health Plans was the largest payer by total incurred claims in 2020, according to data firm Definitive Healthcare

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Definitive Healthcare tracks metrics on over 1,200 payer and payer subsidiary organizations. 

Here are the largest healthcare insurance companies by total incurred claims, followed by total incurred claims in 2020. 

  1. Kaiser Permanente Health Plans: $48,190,589,886
  2. Anthem Blue Cross & Blue Shield: $30,985,209,365
  3. UnitedHealthcare: $30,958,353,507
  4. Health Care Service Corp. Group: $27,089,269,607
  5. Florida Blue: $13,889,381,085
  6. Centene Corp.: $13,418,778,596
  7. Blue Shield of California: $12,195,926,108
  8. Aetna: $11,754,508,700
  9. Cigna: $11,628,634,678
  10. CareFirst BlueCross BlueShield: $7,195,025,341
  11. BlueCross BlueShield of Michigan Group: $6,395,661,082
  12.  Highmark: $6,063,926,192
  13. BlueCross BlueShield of NC Group: $6,031,728,568
  14. BlueCross BlueShield of Massachusetts Group: $5,218,911,620
  15. Horizon Blue Cross Blue Shield of New Jersey: $5,096,699,541
  16. BlueCross BlueShield of Alabama: $4,640,722,164
  17. Humana Group: $4,239,355,565
  18.  Independence Blue Cross Group: $3,767,306,513
  19.  EmblemHealth: $3,379,255,409
  20.  Regence: $3,330,774,479

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