Filing · cfhp-chip
Community First CHIP
Community First Health Plans · CHIP Managed Care · TX · CY2025
In 2025 this plan received 1,268 standard prior authorization requests and denied 4.6% of them. The median for CHIP Managed Care plans of comparable size is 15.6%. One check flagged this filing.
Standard denial rate
4.6%
1,268 standard requests, 58 denied.
30.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 1,268 | 1,208 | 58 | 4.6% |
| Expedited | 242 | 174 | 24 | 9.9% |
Appeals of standard denials
| Appeals filed | 10 |
| Denials overturned | 3 |
| Overturn rate | 30.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 3.0 d | 2.0 d |
| Expedited | 40.6 h | 24.0 h |
What the checks found
errorexp_counts_reconcile
174 approved + 24 denied = 198, but total is 242 (44 unaccounted, 18.2%)