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.

Search Market State Min volume · no minimum Reset

7 of 536

filings in view

914K

standard requests

2.3%

volume-weighted denial rate

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

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

1K10K100K500K

Request volume by market, current filter

Medicare Advantage 914K 7 filings

Filings

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Denial rate Volume Organization Findings

Organization

Plan

Market

Std reqs

Denial rate

Findings

Alignment Healthcare Alignment Health Plan H3443 Medicare Advantage — 14K 5.8% — Alignment Healthcare Alignment Health Plan H5296 Medicare Advantage — 44K 3.7% — Alignment Healthcare Alignment Health Plan H5472 Medicare Advantage — 9K 3.7% — Alignment Healthcare Alignment Health Plan H8832 Medicare Advantage — 4K 2.9% — Alignment Healthcare Alignment Health Plan H4961 Medicare Advantage — 5K 2.9% — Alignment Healthcare Alignment Health Plan H3815 Medicare Advantage — 838K 2.1% — Alignment Healthcare Alignment Health Plan H7074 Medicare Advantage — 380 2.1% —