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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9 of 658
filings in view
1.2M
standard requests
6.5%
volume-weighted denial rate
0
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
6
1
2
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 1.2M 9 filings
Where the denial rate is highest
volume-weighted per state · floor 10K requests · top 10 · click a state for its filings
IN 6.5% 1.2M · 9 filings
Organizations by denials in view
standard denials summed over the slice · weighted rate beside each · top 10
Elevance Health 58K 5.5%
Centene 14K 22.7%
Humana 3K 12.7%
UnitedHealth Group 3K 4.3%
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 Care9 filingsMedicaid Managed Care: median 8.1%, middle half 6.8–12.7%, 90th percentile 20.7%8.1Centene · MHS Indiana - Hoosier Care Connect — 25.2%
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 → 44.2% of denials10% of plans → 44% 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
■ 9 publish counts ▨ 0 publish no counts — a rate nobody can check ● 0 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 MHS Indiana - Hoosier Care Connect Medicaid Managed Care IN 28K 25.2% — Centene MHS Indiana - Hoosier Healthwise Medicaid Managed Care IN 35K 20.7% — Humana Humana Healthy Horizons in Indiana Medicaid Managed Care IN 26K 12.7% — Elevance Health Medicaid Managed Care IN 102K 9.0% — Elevance Health Medicaid Managed Care IN 425K 8.1% — UnitedHealth Group Indiana Hoosier Care Connect Medicaid Managed Care IN 6K 7.4% — Elevance Health Medicaid Managed Care IN 122K 6.8% — UnitedHealth Group Indiana PathWays for Aging Medicaid Managed Care IN 55K 4.0% — Elevance Health Medicaid Managed Care IN 404K 1.5% —