Filing · f0027
AZ Blue Health Choice (AHCCCS)
Blue Cross Blue Shield of Arizona · Medicaid Managed Care · AZ · CY2025
In 2025 this plan received 71,937 standard prior authorization requests and denied 12.1% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
12.1%
71,937 standard requests, 8,715 denied.
37.5% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 71,937 | 63,222 | 8,715 | 12.1% |
| Expedited | 10,209 | 9,416 | 793 | 7.8% |
| Extended review, approved | 49 | |||
Appeals of standard denials
| Appeals filed | 296 |
| Denials overturned | 111 |
| Overturn rate | 37.5% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 4.0 d | 1.1 d |
| Expedited | 16.1 h | 2.8 h |