Project Crossfoot
02 · Explorer

Prior authorization denial rates, plan by plan

Every plan that published a CY2025 filing. Search for an insurer or a plan by name, narrow by state or market, and the charts and the weighted rate below recompute as you go.

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4 of 658
filings in view
259K
standard requests
21.4%
volume-weighted denial rate
2
with validation findings

The weighted rate is computed over filings in view that published both a request total and a denial count; the request figure beside it counts every filing in view.

Distribution of denial rates
filings per 10-point band · click a bar for its filings
3
1
0–10%
10–20%
20–30%
30–40%
40–50%
50–65%
Denial rate vs. request volume
log volume, 1K → 500K · orange marks carry findings · click a point for the filing
1K10K100K500K
Request volume by market, current filter
Medicaid Managed Care 259K 4 filings
Where the denial rate is highest
volume-weighted per state · floor 10K requests · top 10 · click a state for its filings
DE 28.3% 71K · 1 filing
DC 19.1% 99K · 1 filing
NH 18.8% 17K · 1 filing
SC 18.3% 72K · 1 filing
Organizations by denials in view
standard denials summed over the slice · weighted rate beside each · top 10
AmeriHealth Caritas Family of Companies 55K 21.4%
Rate spread by market
the box is the middle half of the market's rates, the whisker runs 10th–90th percentile, the median is marked · orange dots are the filings past the 90th · click a box for the market, a dot for the filing
0%10%20%30%40%50%60%Medicaid Managed Care4 filingsAmeriHealth Caritas Family of Companies · AmeriHealth Caritas Delaware (Medicaid) — 28.3%AmeriHealth Caritas Family of Companies · AmeriHealth Caritas District of Columbia — 19.1%AmeriHealth Caritas Family of Companies · AmeriHealth Caritas New Hampshire — 18.8%AmeriHealth Caritas Family of Companies · First Choice by Select Health of South Carolina — 18.3%
How concentrated the denials are
plans ranked by denials, cumulative share · the dashed diagonal is every plan equal
25%50%75%100%0%25%50%75%100%top 10% of plans → 36.1% of denials10% of plans → 36% of denialsplans, ranked by denials →share of all denials ↑
What the slice actually discloses
how much of the current view can be checked — a rate without counts is a claim, not a number
■ 4 publish counts ▨ 0 publish no counts — a rate nobody can check ● 2 carry validation findings

Filings

This view as JSON
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Denial rate Volume Organization Findings
Organization
Plan
Market
St
Std reqs
Denial rate
Findings
AmeriHealth Caritas Family of Companies AmeriHealth Caritas Delaware (Medicaid) Medicaid Managed Care DE 71K 28.3% — AmeriHealth Caritas Family of Companies AmeriHealth Caritas District of Columbia Medicaid Managed Care DC 99K 19.1% — AmeriHealth Caritas Family of Companies AmeriHealth Caritas New Hampshire Medicaid Managed Care NH 17K 18.8% 2 AmeriHealth Caritas Family of Companies First Choice by Select Health of South Carolina Medicaid Managed Care SC 72K 18.3% 1