Filing · f0012
Alliance Health (NC Behavioral Health I/DD Tailored Plan)
Alliance Health · Medicaid Managed Care · NC · CY2025
In 2025 this plan received 97,765 standard prior authorization requests and denied 2.8% of them. The median for Medicaid Managed Care plans of comparable size is 12.3%.
Standard denial rate
2.8%
97,765 standard requests, 2,718 denied.
42.9% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 97,765 | 95,047 | 2,718 | 2.8% |
| Expedited | 25,962 | 25,496 | 466 | 1.8% |
Appeals of standard denials
| Appeals filed | 91 |
| Denials overturned | 39 |
| Overturn rate | 42.9% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 6.6 d | 7.0 d |
| Expedited | 9.5 h | 2.0 h |