This project uses the Massachusetts All Payer Claims Database to analyze denied health insurance claims and appeals, comparing the experience of people living with AD/ADRD to those without AD/ADRD. It will quantify the prevalence and variability of denied insurance claims from AD/ADRD patients compared to non-AD/ADRD patients; assess the impact of claim denials on subsequent healthcare utilization by AD/ADRD patients; and explore any variability in claims denials and impact across people with different socioeconomic characteristics.