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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5 of 658
filings in view
546K
standard requests
10.1%
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
2
3
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 546K 5 filings
Where the denial rate is highest
volume-weighted per state · floor 10K requests · top 10 · click a state for its filings
NC 10.1% 546K · 5 filings
Organizations by denials in view
standard denials summed over the slice · weighted rate beside each · top 10
Centene 32K 14.8%
AmeriHealth Caritas 12K 15.0%
UnitedHealth Group 9K 5.7%
Alliance Health 3K 2.8%
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 Care5 filingsMedicaid Managed Care: median 14.1%, middle half 5.7–15.0%, 90th percentile 15.0%14.1Centene · WellCare of North Carolina — 15.1%
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 → 40.1% of denials10% of plans → 40% 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
■ 5 publish counts ▨ 0 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 WellCare of North Carolina Medicaid Managed Care NC 147K 15.1% — AmeriHealth Caritas AmeriHealth Caritas North Carolina Medicaid Managed Care NC 78K 15.0% 2 Centene Carolina Complete Health Medicaid Managed Care NC 71K 14.1% — UnitedHealth Group North Carolina Medicaid Managed Care Medicaid Managed Care NC 153K 5.7% — Alliance Health Alliance Health (NC Behavioral Health I/DD Tailored Plan) Medicaid Managed Care NC 98K 2.8% —