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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14 of 658
filings in view
99K
standard requests
33.0%
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 · click a bar for its filings
2
3
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 · click a point for the filing
1K10K100K500K
Request volume by market, current filter
Medicaid Managed Care 56K 6 filings
Medicare Advantage 31K 5 filings
Multiple (combined) 12K 1 filings
Marketplace QHP 33 2 filings
Where the denial rate is highest
volume-weighted per state · floor 10K requests · top 10 · click a state for its filings
MN 33.0% 99K · 12 filings
Organizations by denials in view
standard denials summed over the slice · weighted rate beside each · top 10
UCare 31K 41.0%
HealthPartners 2K 7.4%
Sanford Health 8 24.2%
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 45.1%, middle half 41.9–45.2%, 90th percentile 45.2%45.1UCare · Prepaid Medical Assistance Program (PMAP) — 47.8%Medicare Advantage5 filingsMedicare Advantage: median 35.1%, middle half 28.9–43.9%, 90th percentile 43.9%35.1UCare · UCare Connect + Medicare — 46.6%Marketplace QHP1 filingSanford Health · Sanford Health Plan QHP - Minnesota — 24.2%Multiple (combined)1 filingHealthPartners · HealthPartners Medicare Advantage and Minnesota Senior Health Options (MSHO), combined — 6.3%
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 → 45.0% of denials10% of plans → 45% 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
■ 14 publish counts ▨ 0 publish no counts — a rate nobody can check ● 6 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
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% — Sanford Health Sanford Health Plan QHP - Minnesota Marketplace QHP MN 33 24.2% — UCare UCare Your Choice Plans Medicare Advantage MN 4K 22.9% — HealthPartners HealthPartners Minnesota Health Care Programs (Medicaid) Medicaid Managed Care MN 12K 8.5% — HealthPartners HealthPartners Medicare Advantage and Minnesota Senior Health Options (MSHO), combined Multiple (combined) MN 12K 6.3% — Blue Cross and Blue Shield of Minnesota Blue Cross and Blue Shield of Minnesota (Blue Cross plans) Marketplace QHP MN — — — Blue Cross and Blue Shield of Minnesota Blue Plus (Blue Cross and Blue Shield of Minnesota) Medicaid Managed Care MN — — —