Denied Claims Accuracy Rates -- CY 2002

Denied Claims Accuracy Rates -- CY 2002
ST Samp
Type		 Sample * Population Improper
Denial		 95% C.I.
(+/‑)		 Adjusted
Improper
Denial #		 95% C.I.
(+/‑)
AK MON 149 7,458 5.03% 2.91 4.41% 2.79
SEP 151 11,454 19.90% 7.14 18.23% 6.83
NS 151 15,818 12.63% 5.40 11.42% 5.24
 
AL MON 152 29,421 5.12% 4.04 3.44% 3.86
SEP 159 23,073 1.39% 1.66 0.27% .52
NS 154 35,591 11.34% 5.38 8.55% 4.81
 
AZ MON 150 16,070 12.55% 5.56 6.38% 4.38
SEP 154 19,601 4.34% 3.37 2.00% 2.41
NS 156 27,701 5.02% 3.28 3.18% 2.52
 
CT MON 153 9,500 15.03% 5.89 5.29% 3.44
SEP 153 17,042 3.53% 2.52 0.59% 1.16
NS 150 21,054 15.01% 6.02 13.42% 5.77
 
DC MON 137 3,557 13.34% 7.63 2.41% 1.69
SEP 150 4,219 11.42% 5.15 2.01% 2.31
NS 150 2,778 5.16% 3.91 2.98% 2.98
 
DE MON 133 698 44.85% 8.55 13.59% 6.46
SEP 136 5,304 0.80% 1.56 0.80% 1.56
NS 135 2,497 3.11% 2.75 2.64% 2.60
 
FL MON 116 16,516 1.40% 1.94 0.71% 1.39
SEP 117 65,769 8.62% 4.79 5.33% 4.32
NS 117 27,913 5.43% 4.36 4.48% 3.93
 
GA MON 152 33,317 10.93% 5.52 5.87% 3.87
SEP 152 69,330 4.00% 3.21 4.00% 3.21
NS 152 33,882 4.66% 3.33 4.66% 3.33
 
HI MON 146 1,948 1.01% 1.36 0.62% 1.16
SEP 150 7,389 4.09% 3.28 3.25% 2.85
NS 148 16,087 1.84% 2.09 1.84% 2.09
 
IA MON 146 5,585 19.09% 6.86 13.28% 5.59
SEP 150 25,592 14.78% 5.39 12.40% 5.28
NS 150 12,613 21.27% 6.59 17.14% 6.08
 
ID MON 110 1,164 1.55% 2.12 1.55% 2.12
SEP 122 4,944 3.55% 3.53 2.72% 3.14
NS 123 4,560 9.36% 6.15 7.61% 5.66
 
IL MON 149 45,442 11.37% 5.98 9.74% 5.49
SEP 151 89,622 11.93% 5.37 6.57% 4.07
NS 151 94,918 13.50% 5.34 11.31% 4.98
 
IN MON 154 29,369 5.01% 3.52 2.69% 2.68
SEP 154 39,407 5.19% 3.65 5.19% 3.65
NS 154 38,354 6.30% 3.78 5.96% 3.72
 
KS MON 151 15,190 2.81% 2.92 2.81% 2.92
SEP 154 21,638 0.00% .00 0.00% .00
NS 150 26,295 5.89% 2.99 5.89% 2.99
 
KY MON 125 811 6.88% 4.09 0.74% .87
SEP 137 27,383 2.58% 2.22 1.22% 1.69
NS 135 9,599 6.70% 4.49 4.59% 3.81
 
LA MON 146 3,773 21.37% 7.42 17.11% 6.83
SEP 156 29,584 7.77% 3.96 3.87% 3.11
NS 156 30,228 11.39% 5.08 8.61% 4.29
 
MA MON 113 9,998 18.98% 9.14 15.79% 8.40
SEP 88 27,879 6.16% 5.51 2.45% 3.39
NS 86 30,328 10.13% 7.64 6.90% 6.68
 
MD MON 147 13,026 14.12% 5.47 8.62% 4.19
SEP 154 50,260 5.46% 3.67 3.74% 3.06
NS 152 44,178 12.07% 4.44 7.66% 4.28
 
ME MON 151 5,068 10.31% 5.63 4.50% 3.75
SEP 158 5,525 4.84% 3.56 3.32% 3.12
NS 158 9,515 1.18% .68 1.18% .68
 
MI MON 151 45,484 23.24% 9.83 18.26% 8.84
SEP 150 68,881 5.15% 3.61 3.38% 2.99
NS 148 71,030 10.35% 4.50 8.58% 3.99
 
MN MON 146 10,428 24.78% 7.08 20.55% 6.67
SEP 150 32,999 17.08% 6.26 14.12% 5.89
NS 150 56,060 12.51% 6.10 10.84% 5.83
 
MO MON 151 2,736 52.01% 9.39 41.64% 8.96
SEP 150 34,735 6.46% 4.48 3.30% 3.40
NS 150 94,055 35.55% 8.35 19.46% 6.56
 
MS MON 148 13,635 6.41% 5.03 2.54% 2.51
SEP 151 31,926 5.61% 3.70 3.58% 2.89
NS 151 11,526 1.45% 2.00 0.67% 1.30
 
MT MON 107 1,302 10.78% 8.20 5.71% 4.26
SEP 111 4,636 1.75% 2.43 0.00% .00
NS 107 3,269 9.71% 5.92 3.83% 3.32
 
NC MON 152 32,577 18.23% 6.83 11.33% 5.87
SEP 155 67,027 6.35% 3.97 6.35% 3.97
NS 146 58,667 14.75% 5.99 14.24% 5.90
 
ND MON 144 1,856 3.45% 3.54 2.16% 2.96
SEP 151 2,530 7.98% 4.55 2.77% 2.67
NS 147 4,811 12.24% 5.16 10.99% 5.02
 
NE MON 151 4,110 5.39% 3.41 4.43% 2.85
SEP 147 63,281 1.84% 2.13 1.40% 1.95
NS 148 21,368 7.77% 4.53 6.94% 4.22
 
NH MON 126 1,866 12.45% 5.25 9.26% 4.54
SEP 114 4,196 5.57% 3.66 2.19% 2.13
NS 113 11,037 7.99% 5.38 6.31% 4.86
 
NJ MON 102 49,004 7.24% 7.45 7.24% 7.45
SEP 96 43,712 6.65% 4.67 5.69% 4.27
NS 95 22,434 6.71% 6.29 6.02% 6.14
 
NM MON 151 8,089 10.75% 4.75 6.80% 4.11
SEP 161 4,689 2.40% 2.44 1.09% 1.48
NS 157 812 6.36% 5.82 3.69% 2.79
 
NV MON 141 4,375 8.70% 3.76 3.82% 2.53
SEP 149 25,677 3.55% 2.93 2.12% 2.16
NS 149 19,778 10.20% 5.25 6.26% 4.11
 
NY MON 144 95,255 37.88% 8.52 25.45% 7.55
SEP 148 100,910 7.91% 4.13 5.25% 3.47
NS 140 75,176 6.61% 4.10 6.61% 4.10
 
OH MON 154 44,213 10.85% 4.85 10.30% 4.73
SEP 152 55,690 3.21% 2.82 3.21% 2.82
NS 152 35,979 7.72% 4.13 7.23% 4.13
 
OK MON 150 13,979 3.18% 2.47 2.50% 2.48
SEP 156 22,387 5.55% 3.62 0.87% 1.70
NS 156 21,926 12.13% 5.34 10.21% 4.86
 
OR MON 157 8,606 7.37% 4.65 6.17% 4.54
SEP 157 32,457 9.67% 4.86 5.00% 3.70
NS 157 23,511 7.69% 4.25 6.52% 3.92
 
PA MON 146 48,818 28.58% 7.63 5.94% 4.02
SEP 156 10,457 19.95% 12.16 19.07% 12.16
NS 153 9,015 10.33% 6.28 10.33% 6.28
 
PR MON 104 3,655 67.72% 8.72 17.87% 9.09
SEP 103 2,089 21.42% 15.03 8.69% 8.79
NS 103 6,520 8.24% 6.65 8.24% 6.65
 
RI MON 154 4,714 6.42% 4.32 5.49% 4.42
SEP 149 8,463 3.89% 2.79 2.63% 2.19
NS 143 8,842 0.00% .00 0.00% .00
 
SC MON 121 1,199 8.09% 4.52 7.46% 4.36
SEP 118 36,418 4.24% 4.20 1.95% 2.70
NS 117 10,952 5.18% 4.14 3.31% 3.23
 
SD MON 150 2,493 9.34% 5.86 4.07% 4.07
SEP 150 3,995 4.26% 3.13 3.57% 3.13
NS 150 7,788 13.31% 6.57 9.98% 5.97
 
TN MON 147 25,917 4.58% 4.01 4.16% 3.96
SEP 150 35,429 2.96% 2.97 1.41% 1.95
NS 150 5,554 8.44% 4.64 5.87% 4.16
 
TX MON 151 89,675 5.67% 3.45 3.95% 3.01
SEP 151 190,703 14.39% 6.01 13.52% 5.87
NS 148 217,568 11.29% 5.73 10.47% 5.50
 
UT MON 138 4,135 24.18% 5.76 19.13% 5.81
SEP 149 16,273 5.78% 4.05 4.10% 3.27
NS 150 28,207 6.42% 3.34 5.87% 3.34
 
VA MON 148 22,026 11.57% 5.14 7.20% 4.38
SEP 156 30,980 4.89% 3.21 4.89% 3.21
NS 154 25,391 5.29% 3.49 5.29% 3.49
 
VT MON 145 1,280 5.52% 3.55 5.52% 3.55
SEP 135 4,529 1.95% 2.19 1.35% 1.85
NS 146 3,686 7.21% 4.76 6.20% 4.35
 
WA MON 139 4,696 4.04% 3.19 1.33% 1.81
SEP 138 39,214 6.19% 3.92 4.54% 3.15
NS 140 76,845 8.91% 4.70 6.12% 4.16
 
WI MON 155 34,304 7.05% 4.10 3.96% 3.32
SEP 156 56,386 13.51% 5.57 9.69% 4.82
NS 155 75,817 20.75% 6.77 14.86% 6.18
 
WV MON 146 3,919 12.85% 5.60 6.42% 3.73
SEP 150 10,645 2.94% 2.94 2.94% 2.94
NS 150 7,525 6.17% 3.68 6.17% 3.68
 
WY MON 118 1,606 23.75% 8.14 17.78% 6.90
  SEP 129 2,501 5.58% 4.54 3.85% 4.08
  NS 127 4,846 5.74% 4.21 5.03% 3.98

 

Footnotes

* Excludes cases not meeting DCA definition for inclusion in population, withdrawn claims, and claims for which monetary eligibility was established upon receipt of CWC, UCFE, and/or UCX wage credits.

# Adjusted rate excludes erroneous denials that were corrected by agency and claims for which eligibility was established through appeal prior to DCA case completion.

Report Date: 04 Jun 03
U.S. Department of Labor ETA OWS Division of Performance Management