Every filing checked against itself

std_counts_reconcile error 19 approved + denied ≠ stated total see 19 → exp_counts_reconcile error 13 same, expedited see 13 → appeals_exceed_total error 1 more overturns than appeals filed see 1 → expedited_slower_than_standard warn 20 expedited turnaround exceeding standard see 20 → high_denial_rate warn 11 rates far outside the peer range see 11 → expedited_exceeds_standard_volume warn 10 transposed standard/expedited columns see 10 → zero_denial_rate warn 7 0% denial reported see 7 → std_headline_excludes_extended warn 1 extended-review cases outside the headline see 1 → appeals_not_reported info 139 no appeal outcome published see 139 → percentages_only info 119 no counts, so arithmetic cannot be checked see 119 →

Aetna Medicare Advantage - contract H4835
CVS Health / Aetna info appeals_not_reported no appeal outcome data published Aetna Medicare Advantage - contract H4982
CVS Health / Aetna info appeals_not_reported no appeal outcome data published Aetna Medicare Advantage - contract H5302
CVS Health / Aetna info appeals_not_reported no appeal outcome data published Aetna Medicare Advantage - contract H5309
CVS Health / Aetna info appeals_not_reported no appeal outcome data published Aetna Medicare Advantage - contract H5325
CVS Health / Aetna info appeals_not_reported no appeal outcome data published Aetna Medicare Advantage - contract H5337
CVS Health / Aetna info appeals_not_reported no appeal outcome data published Aetna Medicare Advantage - contract H5521
CVS Health / Aetna info appeals_not_reported no appeal outcome data published Aetna Medicare Advantage - contract H5522
CVS Health / Aetna info appeals_not_reported no appeal outcome data published Aetna Medicare Advantage - contract H5593
CVS Health / Aetna info appeals_not_reported no appeal outcome data published Aetna Medicare Advantage - contract H5793
CVS Health / Aetna info appeals_not_reported no appeal outcome data published Aetna Medicare Advantage - contract H7149
CVS Health / Aetna info appeals_not_reported no appeal outcome data published Aetna Medicare Advantage - contract H7301
CVS Health / Aetna info appeals_not_reported no appeal outcome data published Aetna Medicare Advantage - contract H8332
CVS Health / Aetna info appeals_not_reported no appeal outcome data published Aetna Medicare Advantage - contract H8597
CVS Health / Aetna info appeals_not_reported no appeal outcome data published Devoted Health (all MA plans, aggregated)
Devoted Health info appeals_not_reported no appeal outcome data published Driscoll Health Plan CHIP
Driscoll Health Plan · TX info appeals_not_reported no appeal outcome data published Driscoll Health Plan STAR
Driscoll Health Plan · TX info appeals_not_reported no appeal outcome data published Driscoll Health Plan STAR Kids
Driscoll Health Plan · TX info appeals_not_reported no appeal outcome data published Anthem HealthPlus New York Child Health Plus
Elevance Health · NY info appeals_not_reported no appeal outcome data published Anthem HealthPlus New York Medicaid
Elevance Health · NY info appeals_not_reported no appeal outcome data published Wellpoint District of Columbia
Elevance Health · DC info appeals_not_reported no appeal outcome data published Wellpoint Iowa
Elevance Health · IA info appeals_not_reported no appeal outcome data published Wellpoint Maryland
Elevance Health · MD info appeals_not_reported no appeal outcome data published Wellpoint New Jersey (NJ FamilyCare)
Elevance Health · NJ info appeals_not_reported no appeal outcome data published Wellpoint Tennessee (TennCare)
Elevance Health · TN info appeals_not_reported no appeal outcome data published Wellpoint Texas Medicaid & CHIP (all)
Elevance Health · TX info appeals_not_reported no appeal outcome data published Wellpoint West Virginia
Elevance Health · WV info appeals_not_reported no appeal outcome data published GHC-SCW BadgerCare Plus (WI Medicaid)
Group Health Cooperative of South Central Wisconsin · WI info appeals_not_reported no appeal outcome data published BlueMedicare Classic (HMO) / Preferred (HMO) / Premier (HMO)
GuideWell / Florida Blue · FL info appeals_not_reported no appeal outcome data published BlueMedicare Patriot (PPO) / Select (PPO) / Value (PPO)
GuideWell / Florida Blue · FL info appeals_not_reported no appeal outcome data published BlueOptions (PPO) / BlueSelect (EPO)
GuideWell / Florida Blue · FL info appeals_not_reported no appeal outcome data published myBlue (HMO) / BlueCare (HMO-POS)
GuideWell / Florida Blue · FL info appeals_not_reported no appeal outcome data published Hamaspik Choice (MLTC)
Hamaspik · NY info appeals_not_reported no appeal outcome data published Hamaspik Medicare Choice (MAP - Medicaid side)
Hamaspik · NY info appeals_not_reported no appeal outcome data published Hamaspik Medicare Select (H0034 D-SNP & MAP Medicare, combined)
Hamaspik · NY info appeals_not_reported no appeal outcome data published Health Share of Oregon
Health Share of Oregon · OR info appeals_not_reported no appeal outcome data published Highmark Medicaid - New York
Highmark · NY info appeals_not_reported no appeal outcome data published Elderplan
MJHS Health System · NY info appeals_not_reported no appeal outcome data published Molina Clinical Services, LLC (Mississippi)
Molina Healthcare · MS info appeals_not_reported no appeal outcome data published Molina Complete Care of Arizona (AHCCCS Medicaid)
Molina Healthcare · AZ info appeals_not_reported no appeal outcome data published Molina Healthcare of California (Medi-Cal)
Molina Healthcare · CA info appeals_not_reported no appeal outcome data published Molina Healthcare of Florida
Molina Healthcare · FL info appeals_not_reported no appeal outcome data published Molina Healthcare of Idaho (Medicaid Plus)
Molina Healthcare · ID info appeals_not_reported no appeal outcome data published Molina Healthcare of Illinois (Medicaid)
Molina Healthcare · IL info appeals_not_reported no appeal outcome data published Molina Healthcare of Mississippi, Inc.
Molina Healthcare · MS info appeals_not_reported no appeal outcome data published Molina Healthcare of Nebraska - CHIP
Molina Healthcare · NE info appeals_not_reported no appeal outcome data published Molina Healthcare of Nebraska - Medicaid
Molina Healthcare · NE info appeals_not_reported no appeal outcome data published Molina Healthcare of New Mexico (Turquoise Care)
Molina Healthcare · NM info appeals_not_reported no appeal outcome data published Molina Healthcare of New York Child Health Plus
Molina Healthcare · NY info appeals_not_reported no appeal outcome data published Molina Healthcare of New York Medicaid
Molina Healthcare · NY info appeals_not_reported no appeal outcome data published Molina Healthcare of South Carolina Medicaid
Molina Healthcare · SC info appeals_not_reported no appeal outcome data published Molina Healthcare of Texas CHIP Medicaid
Molina Healthcare · TX info appeals_not_reported no appeal outcome data published Molina Healthcare of Texas CHIP Perinate MHT (at or below 185% FPL)
Molina Healthcare · TX info appeals_not_reported no appeal outcome data published Molina Healthcare of Texas CHIP Perinate RSA (at or below 185% FPL)
Molina Healthcare · TX info appeals_not_reported no appeal outcome data published Molina Healthcare of Texas CHIP RSA Medicaid
Molina Healthcare · TX info appeals_not_reported no appeal outcome data published Molina Healthcare of Texas STAR
Molina Healthcare · TX info appeals_not_reported no appeal outcome data published Molina Healthcare of Texas STAR+PLUS
Molina Healthcare · TX info appeals_not_reported no appeal outcome data published Molina Healthcare of Wisconsin - BadgerCare Plus
Molina Healthcare · WI info appeals_not_reported no appeal outcome data published Molina Healthcare of Wisconsin - Medicaid SSI
Molina Healthcare · WI info appeals_not_reported no appeal outcome data published Molina Marketplace South Carolina
Molina Healthcare · SC info appeals_not_reported no appeal outcome data published