Filing · f0002
Alameda Alliance for Health
Alameda Alliance for Health · Medicaid Managed Care · CA · CY2025
In 2025 this plan received 117,421 standard prior authorization requests and denied 3.0% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
3.0%
117,421 standard requests, 3,485 denied.
21.9% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 117,421 | 113,936 | 3,485 | 3.0% |
| Expedited | 40,649 | 38,999 | 1,650 | 4.1% |
| Extended review, approved | 225 | |||
Appeals of standard denials
| Appeals filed | 818 |
| Denials overturned | 179 |
| Overturn rate | 21.9% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 3.7 d | 1.4 d |
| Expedited | 30.6 h | 8.4 h |