First Choice by Select Health of South Carolina
AmeriHealth Caritas Family of Companies · Medicaid Managed Care · SC · CY2025
In 2025 this plan received 72,229 standard prior authorization requests and denied 18.3% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%. One check flagged this filing.
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 72,229 | 57,563 | 13,195 | 18.3% |
| Expedited | 2,123 | 1,823 | 294 | 13.9% |
This payer also printed its own standard denial rate: 18.3%. The rate above is computed from the published counts, so the two can be compared.
| Appeals filed | — |
| Denials overturned | 944 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
| Mean | Median | |
|---|---|---|
| Standard | 4.0 d | 1.0 d |
| Expedited | 15.8 h | 20.0 h |
57,563 approved + 13,195 denied = 70,758, but total is 72,229 (1,471 unaccounted, 2.0%)