Prior-Authorization Accountability · United States

Insurer Transparency Dashboard

Insurers' own published prior-authorization metrics — denial rates, appeal-overturn rates, and decision turnaround times — shown alongside the source for every figure. This is operational transparency, not an attribution of harm to any company.

Compare plans side by side

Each reporting plan's published prior-authorization numbers, color-coded by company. Click a numeric column heading to sort. Every row links to its own source. Verified rows come from payer-hosted disclosures; discovery benchmarks are clearly labeled.

Plan Denial rate Appeal overturn Mean turnaround Median turnaround Type Source
Loading plan-level data…
Figures are self-reported by plans under CMS-0057-F and aggregated here; definitions vary by reporter. Each row links to its own source.
About this data — read first

Loading provenance note…

Data limitations
  • Loading data limitations…

The rule behind the numbers

These metrics exist because of a federal transparency rule. Here is what it requires and when.

Loading policy summary…

Transparency, not a body count

Loading explainer…

System-wide picture

Aggregate prior-authorization figures across U.S. insurers, each linked to its published source and badged by provenance.

Loading aggregate metrics…

From a turnaround time to an estimated risk

A plan's published mean or median decision time is an administrative benchmark, not the patient's total treatment delay. The most credible report uses documented clinical dates — order/recommendation, PA submission, denial or appeal, final authorization, and actual treatment start — then applies a peer-reviewed hazard ratio, modeled as HR(days/28)1. If actual dates are not available, the calculator can still show a clearly labeled carrier-turnaround scenario, but it should not be described as documented treatment delay.

Build a documented delay report Read the methodology →

Source: Hanna TP, et al. Mortality due to cancer treatment delay. BMJ 2020;371:m4087. doi:10.1136/bmj.m4087.