Every filing checked against itself

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 →

Colorado Access
Colorado Access · CO warn expedited_exceeds_standard_volume expedited volume 17,006 exceeds standard 16,654 (1.0x) - columns may be transposed Rocky Mountain Health Plans RAE (Medicaid Regional Accountable Entity)
Rocky Mountain Health Plans · CO warn expedited_exceeds_standard_volume expedited volume 8,660 exceeds standard 8,244 (1.1x) - columns may be transposed Highmark Medicare Advantage contract H5932
Highmark · PA warn expedited_exceeds_standard_volume expedited volume 11,889 exceeds standard 7,010 (1.7x) - columns may be transposed Northeast Health Partners (Regional Accountable Entity)
Northeast Health Partners · CO warn expedited_exceeds_standard_volume expedited volume 6,572 exceeds standard 4,203 (1.6x) - columns may be transposed Aetna Better Health Kids (Pennsylvania CHIP)
CVS Health / Aetna · PA warn expedited_exceeds_standard_volume expedited volume 2,990 exceeds standard 2,066 (1.4x) - columns may be transposed Rocky Mountain Health Plans - QHP On-Exchange
Rocky Mountain Health Plans · CO warn expedited_exceeds_standard_volume expedited volume 4,534 exceeds standard 1,418 (3.2x) - columns may be transposed Rocky Mountain Health Plans PRIME (Medicaid)
Rocky Mountain Health Plans · CO warn expedited_exceeds_standard_volume expedited volume 8,068 exceeds standard 1,336 (6.0x) - columns may be transposed Peak Health
Peak Health · WV warn expedited_exceeds_standard_volume expedited volume 4,664 exceeds standard 937 (5.0x) - columns may be transposed Rocky Mountain Health Plans Medicare Advantage
Rocky Mountain Health Plans · CO warn expedited_exceeds_standard_volume expedited volume 465 exceeds standard 294 (1.6x) - columns may be transposed Generations Advantage HMO - Behavioral Health
Martin's Point Health Care · ME warn expedited_exceeds_standard_volume expedited volume 166 exceeds standard 131 (1.3x) - columns may be transposed CountyCare Health Plan (HealthChoice Illinois Medicaid)
CountyCare Health Plan (Cook County Health) · IL warn expedited_slower_than_standard expedited mean 21.1h exceeds standard mean 0.87d (21h) Ambetter from Superior HealthPlan (29418)
Centene · TX warn expedited_slower_than_standard expedited mean 72.0h exceeds standard mean 2.00d (48h) Wisconsin Medicaid (ForwardHealth) -- specific program/agency not named in document
Wisconsin Department of Health Services · WI warn expedited_slower_than_standard expedited mean 151.2h exceeds standard mean 3.10d (74h) Kaiser Foundation Health Plan of the Mid-Atlantic States
Kaiser Permanente · MD warn expedited_slower_than_standard expedited mean 4.0h exceeds standard mean 0.13d (3h) Ambetter from Superior HealthPlan (87226)
Centene · TX warn expedited_slower_than_standard expedited mean 72.0h exceeds standard mean 2.00d (48h) Highmark QHP (federal Marketplace) - Pennsylvania
Highmark · PA warn expedited_slower_than_standard expedited mean 11.8h exceeds standard mean 0.43d (10h) Mississippi Medicaid Fee-for-Service
Mississippi Division of Medicaid · MS warn expedited_slower_than_standard expedited mean 110.3h exceeds standard mean 3.13d (75h) Community Health Choice STAR & STAR+PLUS (combined)
Community Health Choice · TX warn expedited_slower_than_standard expedited mean 192.0h exceeds standard mean 7.00d (168h) Maryland HealthChoice
UnitedHealth Group · MD warn expedited_slower_than_standard expedited mean 24.0h exceeds standard mean 0.00d (0h) Highmark QHP (federal Marketplace) - West Virginia
Highmark · WV warn expedited_slower_than_standard expedited mean 13.4h exceeds standard mean 0.41d (10h) New York Wellness 4Me (HARP)
UnitedHealth Group · NY warn expedited_slower_than_standard expedited mean 168.0h exceeds standard mean 1.00d (24h) Northeast Health Partners (Regional Accountable Entity)
Northeast Health Partners · CO warn expedited_slower_than_standard expedited mean 25.9h exceeds standard mean 0.76d (18h) UnitedHealthcare Medicare Advantage - Contract H5652
UnitedHealth Group warn expedited_slower_than_standard expedited mean 24.0h exceeds standard mean 0.00d (0h) Community Health Choice CHIP & CHIP Perinatal (combined)
Community Health Choice · TX warn expedited_slower_than_standard expedited mean 288.0h exceeds standard mean 9.00d (216h) UnitedHealthcare Medicare Advantage - Contract H7833
UnitedHealth Group warn expedited_slower_than_standard expedited mean 24.0h exceeds standard mean 0.00d (0h) Aetna Better Health Kids (Pennsylvania CHIP)
CVS Health / Aetna · PA warn expedited_slower_than_standard expedited mean 51.1h exceeds standard mean 1.97d (47h) New York Child Health Plus
UnitedHealth Group · NY warn expedited_slower_than_standard expedited mean 96.0h exceeds standard mean 0.00d (0h) Molina Healthcare of Texas CHIP Perinate MHT (at or below 185% FPL)
Molina Healthcare · TX warn expedited_slower_than_standard expedited mean 59.0h exceeds standard mean 1.00d (24h) Molina Healthcare of Texas CHIP Perinate RSA (at or below 185% FPL)
Molina Healthcare · TX warn expedited_slower_than_standard expedited mean 53.0h exceeds standard mean 2.00d (48h) Senior Whole Health of New York - MLTSS
Molina Healthcare · NY warn expedited_slower_than_standard expedited mean 79.0h exceeds standard mean 3.00d (72h) Prepaid Medical Assistance Program (PMAP)
UCare · MN warn high_denial_rate 47.8% standard denial rate is far above the peer range UCare Connect
UCare · MN warn high_denial_rate 45.18% standard denial rate is far above the peer range MinnesotaCare (MnCare)
UCare · MN warn high_denial_rate 45.14% standard denial rate is far above the peer range UCare Minnesota Senior Health Options (MSHO)
UCare · MN warn high_denial_rate 43.92% standard denial rate is far above the peer range UCare Connect + Medicare
UCare · MN warn high_denial_rate 46.57% standard denial rate is far above the peer range AmeriHealth Caritas Delaware CHIP
AmeriHealth Caritas Family of Companies · DE warn high_denial_rate 48.41% standard denial rate is far above the peer range Minnesota Senior Care Plus (MSC+)
UCare · MN warn high_denial_rate 41.87% standard denial rate is far above the peer range Texas MMP
UnitedHealth Group · TX warn high_denial_rate 40.42% standard denial rate is far above the peer range Hamaspik Choice (MLTC)
Hamaspik · NY warn high_denial_rate 49% standard denial rate is far above the peer range Hamaspik Medicare Choice (MAP - Medicaid side)
Hamaspik · NY warn high_denial_rate 52% standard denial rate is far above the peer range VillageCareMAX Managed Long-Term Care
VillageCare · NY warn high_denial_rate 62.3% standard denial rate is far above the peer range Medi-Cal Fee-for-Service (medical and behavioral health)
California DHCS · CA warn std_headline_excludes_extended headline approved/denied cover 78,145 of 78,987; the 842 balance is reported separately as extended review, so the published percentages understate the full population Wyoming Medicaid Home and Community Based Services
Wyoming Department of Health · WY warn zero_denial_rate 0% denial rate reported Wyoming High Fidelity Wraparound CME
Magellan Healthcare · WY warn zero_denial_rate 0% denial rate reported Generations Advantage HMO - Behavioral Health
Martin's Point Health Care · ME warn zero_denial_rate 0% denial rate reported Generations Advantage LPPO - Behavioral Health
Martin's Point Health Care · ME warn zero_denial_rate 0% denial rate reported UnitedHealthcare Medicare Advantage - Contract H4032
UnitedHealth Group warn zero_denial_rate 0% denial rate reported Aetna Medicare Advantage - contract H0562
CVS Health / Aetna warn zero_denial_rate 0% denial rate reported Senior Whole Health of New York - FIDE
Molina Healthcare · NY warn zero_denial_rate 0% denial rate reported