Filing · f0025
Keystone First CHIP
AmeriHealth Caritas Family of Companies · CHIP Managed Care · PA · CY2025
In 2025 this plan received 4,394 standard prior authorization requests and denied 19.9% of them. The median for CHIP Managed Care plans of comparable size is 15.6%.
Standard denial rate
19.9%
4,394 standard requests, 874 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 4,394 | 3,507 | 874 | 19.9% |
| Expedited | 22 | 21 | 1 | 4.6% |
This payer also printed its own standard denial rate: 19.9%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 12 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 4.1 d | 2.0 d |
| Expedited | 56.7 h | 27.0 h |