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.

Reset
19 of 658
filings in view
208K
standard requests
15.0%
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
7
11
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 208K 19 filings
Where the denial rate is highest
volume-weighted per state · floor 10K requests · top 10 · click a state for its filings
OH 12.8% 68K · 1 filing
Organizations by denials in view
standard denials summed over the slice · weighted rate beside each · top 10
Molina Healthcare 9K 12.8%
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 Care19 filingsMedicaid Managed Care: median 12.8%, middle half 6.7–15.0%, 90th percentile 16.0%12.8Molina Healthcare · Molina Healthcare of South Carolina Medicaid — 27.0%Molina Healthcare · Molina Healthcare of Texas STAR — 17.0%
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 → 100.0% of denials10% of plans → 100% 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
■ 2 publish counts ▨ 17 publish no counts — a rate nobody can check ● 2 carry validation findings

Filings

This view as JSON
Sort
Denial rate Volume Organization Findings
Organization
Plan
Market
St
Std reqs
Denial rate
Findings
Molina Healthcare Molina Healthcare of South Carolina Medicaid Medicaid Managed Care SC — 27.0% — Molina Healthcare Molina Healthcare of Texas STAR Medicaid Managed Care TX — 17.0% — Molina Healthcare Molina Healthcare of New York Medicaid Medicaid Managed Care NY — 16.0% — Molina Healthcare Molina Healthcare of Washington (Apple Health) Medicaid Managed Care WA 140K 16.0% — Molina Healthcare Molina Healthcare of Florida Medicaid Managed Care FL — 15.0% — Molina Healthcare Molina Healthcare of New Mexico (Turquoise Care) Medicaid Managed Care NM — 15.0% — Molina Healthcare Molina Healthcare of Illinois (Medicaid) Medicaid Managed Care IL — 14.0% — Molina Healthcare Molina Healthcare of Nebraska - Medicaid Medicaid Managed Care NE — 13.0% — Molina Healthcare Senior Whole Health of New York - MLTSS Medicaid Managed Care NY — 13.0% 1 Molina Healthcare Molina Healthcare of Ohio (Medicaid) Medicaid Managed Care OH 68K 12.8% — Molina Healthcare Molina Clinical Services, LLC (Mississippi) Medicaid Managed Care MS — 11.9% — Molina Healthcare Molina Healthcare of Wisconsin - BadgerCare Plus Medicaid Managed Care WI — 10.0% — Molina Healthcare Molina Complete Care of Arizona (AHCCCS Medicaid) Medicaid Managed Care AZ — 9.0% — Molina Healthcare Molina Healthcare of Wisconsin - Medicaid SSI Medicaid Managed Care WI — 7.0% — Molina Healthcare Molina Healthcare of Mississippi, Inc. Medicaid Managed Care MS — 6.7% — Molina Healthcare Molina Healthcare of Texas STAR+PLUS Medicaid Managed Care TX — 6.0% — Molina Healthcare Molina Healthcare of Idaho (Medicaid Plus) Medicaid Managed Care ID — 4.0% — Molina Healthcare Molina Healthcare of California (Medi-Cal) Medicaid Managed Care CA — 2.0% — Molina Healthcare Senior Whole Health of New York - FIDE Medicaid Managed Care NY — 0.0% 1