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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4 of 658
filings in view
73K
standard requests
16.8%
volume-weighted denial rate
3
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
1
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 57K 2 filings
Marketplace QHP 16K 2 filings
Where the denial rate is highest
volume-weighted per state · floor 10K requests · top 10 · click a state for its filings
NH 16.8% 73K · 4 filings
Organizations by denials in view
standard denials summed over the slice · weighted rate beside each · top 10
Centene 9K 16.2%
AmeriHealth Caritas Family of Companies 3K 18.8%
Point32Health 29 15.9%
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%Marketplace QHP2 filingsCentene · Ambetter from NH Healthy Families — 23.1%Point32Health · Harvard Pilgrim Health Care – New Hampshire Exchange Local Choice — 15.9%Medicaid Managed Care2 filingsAmeriHealth Caritas Family of Companies · AmeriHealth Caritas New Hampshire — 18.8%Centene · NH Healthy Families — 13.4%
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 → 43.3% of denials10% of plans → 43% 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
■ 4 publish counts ▨ 0 publish no counts — a rate nobody can check ● 3 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
Centene Ambetter from NH Healthy Families Marketplace QHP NH 16K 23.1% — AmeriHealth Caritas Family of Companies AmeriHealth Caritas New Hampshire Medicaid Managed Care NH 17K 18.8% 2 Point32Health Harvard Pilgrim Health Care – New Hampshire Exchange Local Choice Marketplace QHP NH 182 15.9% 1 Centene NH Healthy Families Medicaid Managed Care NH 40K 13.4% 1