State Detail
South Dakota
2 plans reporting · CY 2025
Across 2 plans reporting in South Dakota, standard prior authorization denial rates range from 4.7% to 19.8%, averaging 12.3%. All data is from mandatory CMS-0057-F disclosures for calendar year 2025.
Plan Comparison
| Standard | Expedited | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Plan | Org | Requests | Approved | Denied | Appr % | Denial % ▼ | Appeals | Overturn % | Denied Appeal % | Appr Ext % | Denied Ext % | Mean Days | Med Days | Requests | Approved | Denied | Appr % | Denial % | Appeals | Overturn % | Denied Appeal % | Appr Ext % | Denied Ext % | Mean Days | Med Days | Source |
| Sanford Health | ||||||||||||||||||||||||||
| Sanford Health Plan QHPExchange Plans | Sanford Health | 7,214 | 5,788 | 1,426 | 80.2% | 19.8% | 54 | — | — | — | — | 3.6 | 1.0 | 874 | 864 | 10 | 98.9% | 1.1% | 1 | — | — | — | — | 0.8 | 0.0 | View source ↗ |
| Align powered by Sanford Health Plan MA (H8385)Medicare Advantage | Sanford Health | 1,251 | 1,192 | 59 | 95.3% | 4.7% | 10 | — | — | — | — | 0.4 | 0.0 | 141 | 138 | 3 | 97.9% | 2.1% | 0 | — | — | — | — | — | — | View source ↗ |
Standard Denial Rates by Plan
Similar Denial Rates