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
3 of 658
filings in view
4.0M
standard requests
28.9%
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
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 FFS 4.0M 3 filings
Where the denial rate is highest
volume-weighted per state · floor 10K requests · top 10 · click a state for its filings
CA 28.9% 4.0M · 3 filings
Organizations by denials in view
standard denials summed over the slice · weighted rate beside each · top 10
California DHCS 1.1M 28.9%
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 FFS3 filingsCalifornia DHCS · Medi-Cal Dental Fee-for-Service — 29.5%California DHCS · Medi-Cal Fee-for-Service (medical and behavioral health) — 28.4%California DHCS · California Children's Services (CCS) — 26.5%
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 → 80.6% of denials10% of plans → 81% 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
■ 3 publish counts ▨ 0 publish no counts — a rate nobody can check ● 1 carry validation findings