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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31 of 658
filings in view
6.7M
standard requests
10.0%
volume-weighted denial rate
1
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
4
16
10
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 6.7M 31 filings
Where the denial rate is highest
volume-weighted per state · floor 10K requests · top 10 · click a state for its filings
OK 31.4% 82K · 2 filings
OH 24.7% 146K · 1 filing
AZ 23.3% 164K · 1 filing
IN 22.7% 63K · 2 filings
LA 22.6% 154K · 1 filing
IL 22.3% 327K · 2 filings
WA 21.3% 55K · 1 filing
MO 20.2% 148K · 2 filings
AR 19.1% 27K · 1 filing
GA 16.9% 215K · 1 filing
Organizations by denials in view
standard denials summed over the slice · weighted rate beside each · top 10
Centene 644K 9.8%
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 Care31 filingsMedicaid Managed Care: median 15.1%, middle half 13.2–21.0%, 90th percentile 23.3%15.1Centene · Oklahoma Complete Health - SoonerSelect — 32.4%Centene · MHS Indiana - Hoosier Care Connect — 25.2%Centene · Buckeye Health Plan (Ohio Medicaid) — 24.7%
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 → 34.8% of denials10% of plans → 35% 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
■ 30 publish counts ▨ 1 publish no counts — a rate nobody can check ● 1 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
Centene Oklahoma Complete Health - SoonerSelect Medicaid Managed Care OK 73K 32.4% — Centene MHS Indiana - Hoosier Care Connect Medicaid Managed Care IN 28K 25.2% — Centene Buckeye Health Plan (Ohio Medicaid) Medicaid Managed Care OH 146K 24.7% — Centene Arizona Complete Health - Complete Care Medicaid Managed Care AZ 164K 23.3% — Centene Oklahoma Complete Health - Children's Specialty Program Medicaid Managed Care OK 9K 23.0% — Centene Meridian Illinois Medicaid Medicaid Managed Care IL 316K 22.6% — Centene Louisiana Healthcare Connections Medicaid Managed Care LA 154K 22.6% — Centene Coordinated Care (Apple Health) Medicaid Managed Care WA 55K 21.3% — Centene Meridian Michigan Medicaid Medicaid Managed Care MI 122K 21.0% — Centene Home State Health (MO HealthNet) Medicaid Managed Care MO 130K 21.0% — Centene MHS Indiana - Hoosier Healthwise Medicaid Managed Care IN 35K 20.7% — Centene Arkansas Total Care (PASSE) Medicaid Managed Care AR 27K 19.1% — Centene Sunshine Health Medicaid MMA Medicaid Managed Care FL 418K 18.3% — Centene Peach State Health Plan Medicaid Medicaid Managed Care GA 215K 16.9% — Centene Pennsylvania Health & Wellness (Community HealthChoices) Medicaid Managed Care PA 20K 16.5% — Centene WellCare of North Carolina Medicaid Managed Care NC 147K 15.1% — Centene MHS Health Wisconsin (NHP line) Medicaid Managed Care WI 11K 15.0% — Centene WellCare of Kentucky Medicaid Managed Care KY 357K 14.9% — Centene Home State Health - Show Me Healthy Kids Medicaid Managed Care MO 18K 14.8% — Centene Trillium Community Health Plan - Southwest Medicaid Managed Care OR 10K 14.3% — Centene Carolina Complete Health Medicaid Managed Care NC 71K 14.1% — Centene NH Healthy Families Medicaid Managed Care NH 40K 13.4% 1 Centene Iowa Total Care Medicaid Managed Care IA 155K 13.2% — Centene YouthCare (HealthChoice Illinois Medicaid) Medicaid Managed Care IL 10K 13.2% — Centene Delaware First Health Medicaid Medicaid Managed Care DE 15K 12.8% — Centene Sunflower Health Plan (KanCare) Medicaid Managed Care KS 82K 12.1% — Centene Sunshine Health Children's Medical Services (Title XIX) Medicaid Managed Care FL 297K 10.5% — Centene Community Health Plan of Imperial Valley Medi-Cal Medicaid Managed Care CA 57K 7.6% — Centene CalViva Health Medi-Cal Medicaid Managed Care CA 310K 6.3% — Centene Health Net Medi-Cal Medicaid Managed Care CA 3.1M 2.5% — Centene Sunshine Health Long-Term Care Medicaid Managed Care FL 135K 1.4% —