Filing · f0057
Aetna Better Health of Florida
CVS Health / Aetna · Medicaid Managed Care · FL · CY2025
In 2025 this plan received 43,074 standard prior authorization requests and denied 22.4% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
22.4%
43,074 standard requests, 9,639 denied.
24.3% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 43,074 | 33,435 | 9,639 | 22.4% |
| Expedited | 6,500 | 5,199 | 1,301 | 20.0% |
| Extended review, approved | 600 | |||
This payer also printed its own standard denial rate: 22.4%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 1,775 |
| Denials overturned | 432 |
| Overturn rate | 24.3% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 3.1 d | 2.0 d |
| Expedited | 36.5 h | 24.0 h |