State Detail
Wyoming
1 plan reporting · CY 2025
Across 1 plan reporting in Wyoming, standard prior authorization denial rates range from 6.6% to 6.6%, averaging 6.6%. Among plans reporting appeal outcomes, 21.0% of appealed denials are overturned. 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 |
| BCBS Wyoming | ||||||||||||||||||||||||||
| Blue Cross Blue Shield of Wyoming QHPExchange Plans | BCBS Wyoming | 8,909 | 8,321 | 588 | 93.4% | 6.6% | 71 | 21.0% | 79.0% | — | — | 0.0 | 0.0 | 977 | 948 | 31 | 97.0% | 3.2% | 2 | 50.0% | 50.0% | 100.0% | 0.0% | 0.0 | 0.0 | View source ↗ |
Standard Denial Rates by Plan
Appeals Analysis
Plans in the upper-right deny frequently and have high overturn rates — suggesting inappropriate denials.
Similar Denial Rates