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

6 of 536

filings in view

24K

standard requests

9.1%

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

Medicaid Managed Care 10K 2 filings

Marketplace QHP 8K 2 filings

CHIP Managed Care 6K 1 filings

Medicare Advantage 294 1 filings

Filings

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Denial rate Volume Organization Findings

Organization

Plan

Market

Std reqs

Denial rate

Findings