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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 536
filings in view
75K
standard requests
41.0%
volume-weighted denial rate
6
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
2
1
6
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 45K 4 filings
Medicare Advantage 31K 5 filings

Filings

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Denial rate Volume Organization Findings
Organization
Plan
Market
St
Std reqs
Denial rate
Findings
UCare Prepaid Medical Assistance Program (PMAP) Medicaid Managed Care MN 31K 47.8% 1 UCare UCare Connect + Medicare Medicare Advantage MN 4K 46.6% 1 UCare UCare Connect Medicaid Managed Care MN 7K 45.2% 1 UCare MinnesotaCare (MnCare) Medicaid Managed Care MN 6K 45.1% 1 UCare UCare Minnesota Senior Health Options (MSHO) Medicare Advantage MN 4K 43.9% 1 UCare Minnesota Senior Care Plus (MSC+) Medicaid Managed Care MN 1K 41.9% 1 UCare EssentiaCare Plans Medicare Advantage MN 382 35.1% — UCare UCare Medicare Plans Medicare Advantage MN 18K 28.9% — UCare UCare Your Choice Plans Medicare Advantage MN 4K 22.9% —