AmeriHealth Caritas Delaware CHIP
AmeriHealth Caritas Family of Companies · CHIP Managed Care · DE · CY2025
In 2025 this plan received 2,764 standard prior authorization requests and denied 48.4% of them. The median for CHIP Managed Care plans of comparable size is 15.6%. 2 checks flagged this filing.
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 2,764 | 1,426 | 1,338 | 48.4% |
| Expedited | 35 | 24 | 11 | 31.4% |
This payer also printed its own standard denial rate: 48.4%. The rate above is computed from the published counts, so the two can be compared.
| Appeals filed | — |
| Denials overturned | — |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
| Mean | Median | |
|---|---|---|
| Standard | 4.0 d | 2.0 d |
| Expedited | 36.3 h | 31.0 h |
48.41% standard denial rate is far above the peer range
no appeal outcome data published