Coverage Rights

List tracked U.S. health insurers with whether verified CMS-0057-F prior-authorization metrics are available for each.

Get an insurer's verified CY2025 prior-authorization metrics (denial rate, appeal overturn rate, decision times) from its own CMS-0057-F disclosure, plus contract/plan-level rows where collected. Includes source URLs and scope notes.

Ranked table of insurer prior-authorization denial rates (CY2025) from each insurer's own public CMS-0057-F disclosure, with appeal overturn rates and source links. Scope varies by insurer — read the notes.

External-review outcomes for a treatment: how often insurer denials of this treatment/drug/procedure were overturned by independent reviewers (42,749 published CA IMR decisions, 2001–2026). Accepts a category slug (e.g. 'pharmacy') or specific treatment slug (e.g. 'zepbound', 'speech-therapy').

External-review outcomes for a medical condition: how often insurance denials involving this condition were overturned, plus the most-fought treatments for it.

Search treatments (categories + specific drugs/procedures) and conditions by name. Returns slugs for get_treatment_outcomes / get_condition_outcomes plus headline overturn rates.

Appeal rights, deadlines, escalation path, and matching outcome statistics for a denial situation. Each ground carries a `status` and `verification` label. Grounds marked `verified` were checked against the primary CFR/statute; treat any `draft` ground as pending verification and do not present it a

How a state's external review process works: filing deadline, regulator contact, and key facts. Covers 10 launch states.