AmeriHealth Caritas New Hampshire
AmeriHealth Caritas Family of Companies · Medicaid Managed Care · NH · CY2025
In 2025 this plan received 17,385 standard prior authorization requests and denied 18.8% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%. 2 checks flagged this filing.
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 17,385 | 13,815 | 3,265 | 18.8% |
| Expedited | 934 | 778 | 129 | 13.8% |
This payer also printed its own standard denial rate: 18.8%. The rate above is computed from the published counts, so the two can be compared.
| Appeals filed | — |
| Denials overturned | 316 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
| Mean | Median | |
|---|---|---|
| Standard | 5.7 d | 6.0 d |
| Expedited | 50.0 h | 32.0 h |
778 approved + 129 denied = 907, but total is 934 (27 unaccounted, 2.9%)
13,815 approved + 3,265 denied = 17,080, but total is 17,385 (305 unaccounted, 1.8%)