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    <updated>2026-05-19T23:46:45Z</updated>
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      <title type="html">American health plans deny ~250M claims/year. Less than 1% are ...</title>
    
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      American health plans deny ~250M claims/year. Less than 1% are appealed. KFF: when patients do appeal MA prior-auth denials, the vast majority reverse. Working guide across ACA / ERISA / MA / Original Medicare: &lt;a href=&#34;https://rollback-preflight-engine.dv8ffbhg85j2o.amplifyapp.com/learning-centre/what-happens-to-the-other-99-percent&#34;&gt;https://rollback-preflight-engine.dv8ffbhg85j2o.amplifyapp.com/learning-centre/what-happens-to-the-other-99-percent&lt;/a&gt; #insurance
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    <updated>2026-05-19T22:46:21Z</updated>
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      External-review reversal rates vary 4.7x across US states for the same federally guaranteed appeal right under 45 CFR 147.136. Connecticut: 80% overturned. West Virginia: 17%. 27 of 50 states do not publish a current statistic. Apellica&amp;#39;s 50-state CC-BY-4.0 dataset: &lt;a href=&#34;https://rollback-preflight-engine.dv8ffbhg85j2o.amplifyapp.com/external-review-index&#34;&gt;https://rollback-preflight-engine.dv8ffbhg85j2o.amplifyapp.com/external-review-index&lt;/a&gt; #healthpolicy #insurance
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    <updated>2026-05-19T22:07:33Z</updated>
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      American health plans deny ~250M claims/year. Less than 1% are appealed. KFF: when patients do appeal MA prior-auth denials, the vast majority reverse. Working guide across ACA / ERISA / MA / Original Medicare: &lt;a href=&#34;https://rollback-preflight-engine.dv8ffbhg85j2o.amplifyapp.com/learning-centre/what-happens-to-the-other-99-percent&#34;&gt;https://rollback-preflight-engine.dv8ffbhg85j2o.amplifyapp.com/learning-centre/what-happens-to-the-other-99-percent&lt;/a&gt; #insurance
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    <updated>2026-05-19T22:07:22Z</updated>
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      External-review reversal rates vary 4.7x across US states for the same federally guaranteed appeal right under 45 CFR 147.136. Connecticut: 80% overturned. West Virginia: 17%. 27 of 50 states do not publish a current statistic. Apellica&amp;#39;s 50-state CC-BY-4.0 dataset: &lt;a href=&#34;https://rollback-preflight-engine.dv8ffbhg85j2o.amplifyapp.com/external-review-index&#34;&gt;https://rollback-preflight-engine.dv8ffbhg85j2o.amplifyapp.com/external-review-index&lt;/a&gt; #healthpolicy #insurance
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    <updated>2026-05-19T22:07:10Z</updated>
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    <updated>2026-05-19T21:35:35Z</updated>
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    <updated>2026-05-19T21:35:23Z</updated>
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    <content type="html">
      What happens to the other 99% of US insurance denials? American health plans deny ~250M claims/year. Less than 1% get appealed. KFF&amp;#39;s Medicare Advantage analysis: when patients DO appeal, the majority of plan denials reverse. Working guide across ACA / ERISA / MA / Original Medicare regimes. &lt;a href=&#34;https://rollback-preflight-engine.dv8ffbhg85j2o.amplifyapp.com/learning-centre/what-happens-to-the-other-99-percent&#34;&gt;https://rollback-preflight-engine.dv8ffbhg85j2o.amplifyapp.com/learning-centre/what-happens-to-the-other-99-percent&lt;/a&gt; #insurance #appeals
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    <updated>2026-05-19T21:35:11Z</updated>
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      📰 The Apellica External Review Index: external-review reversal rates vary 4.7x across US states for the same federally guaranteed appeal right. Connecticut 80%. West Virginia 17%. 27 states don&amp;#39;t publish a current statistic. 50-state dataset, CC-BY-4.0, source-cited per cell. &lt;a href=&#34;https://rollback-preflight-engine.dv8ffbhg85j2o.amplifyapp.com/external-review-index&#34;&gt;https://rollback-preflight-engine.dv8ffbhg85j2o.amplifyapp.com/external-review-index&lt;/a&gt; #healthpolicy #insurance
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</feed>