Filing · f0119
CareFirst BlueCross BlueShield Community Health Plan Maryland (CareFirst CHPMD)
CareFirst BlueCross BlueShield · Medicaid Managed Care · MD · Jan 1, 2025 - Dec 31, 2025
In 2025 this plan received 27,624 standard prior authorization requests and denied 7.2% of them. The median for Medicaid Managed Care plans of comparable size is 12.3%.
Standard denial rate
7.2%
27,624 standard requests, 1,984 denied.
6.2% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 27,624 | 25,640 | 1,984 | 7.2% |
| Expedited | 807 | 764 | 43 | 5.3% |
| Extended review, approved | 16 | |||
This payer also printed its own standard denial rate: 7.2%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 821 |
| Denials overturned | 51 |
| Overturn rate | 6.2% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.6 d | 2.0 d |
| Expedited | 23.1 h | 9.0 h |